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DAVID GOODMAN PH.D. PSYCHOLOGIST LTD. NPI 1659485878


NPI Information

NPI: 1659485878
Provider Name: DAVID GOODMAN, PH.D. PSYCHOLOGIST LTD.

Doing Business As: DAVID GOODMAN, PH.D. PSYCHOLOGIST ASSOCIATES

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
405 ILLINOIS AVE
SUITE 2C
ST CHARLES, IL
ZIP 60174
Phone: (630) 377-3535
Get Directions

DAVID GOODMAN, PH.D. PSYCHOLOGIST LTD. is a clinical psychologist in St Charles, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DAVID GOODMAN, PH.D. PSYCHOLOGIST LTD. NPI is 1659485878. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As David Goodman, Ph.d. Psychologist Associates.

The provider's business location address is:

405 ILLINOIS AVE
SUITE 2C
ST CHARLES, IL
ZIP 60174-963
Phone: (630) 377-3535
Fax: (630) 530-9527

The provider's authorized official is David M. Goodman .
The authorized official title is Clinical Psychologist and has the following contact phone number (630) 377-3535.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 5/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical071002731ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14572009OTHERILLINOISBC/BS PROVIDER NUMBER
2210934MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.