Goldstein Neuropsychologists PC
NPI 1063568210ActiveOrganization· Clinical Neuropsychologist· Chicago, IL
Clinical Neuropsychologist in Chicago, Illinois, registered in NPPES in January 2007. The authorized official on file is Diana Susan Goldstein, PH.D., ABPP, President & Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063568210 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2007 |
| Last updated in NPPES | Jun 8, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 071006006 | IL |
| Clinical Neuropsychologist | 103G00000X | 20041441A | IN |
| Psychologist | 103T00000X | 071006006 | IL |
| Psychologist | 103T00000X | 20041441A | IN |
| Psychologist, Adult Development & Aging | 103TA0700X | 071006006 | IL |
| Psychologist, Adult Development & Aging | 103TA0700X | 20041441A | IN |
| Psychologist, Clinical | 103TC0700X | 071006006 | IL |
| Psychologist, Clinical | 103TC0700X | 20041441A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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