Organization
GOLDSTEIN NEUROPSYCHOLOGISTS PC
Active
Organization
GOLDSTEIN NEUROPSYCHOLOGISTS PC
Active
Other names
Michigan Avenue Neuropsychologists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA SUSAN GOLDSTEIN PH.D., ABPP (PRESIDENT & CEO)
(312) 212-1776
Entity
Organization
Contact information
Practice address
200 S MICHIGAN AVE, SUITE 710, CHICAGO, IL 60604-2402
(312) 212-1776
(312) 212-1778
Mailing address
200 S MICHIGAN AVE, SUITE 710, CHICAGO, IL 60604-2402
(312) 212-1776
(312) 212-1778
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071006006
IL
103G00000X
Clinical Neuropsychologist
20041441A
IN
103T00000X
Psychologist
071006006
IL
103T00000X
Psychologist
20041441A
IN
103TA0700X
Adult Development & Aging Psychologist
071006006
IL
103TA0700X
Adult Development & Aging Psychologist
20041441A
IN
103TC0700X
Clinical Psychologist
071006006
IL
103TC0700X
Clinical Psychologist
20041441A
IN
Other
Enumeration date
01/28/2007
Last updated
06/08/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up