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MICHIGAN AVENUE NEUROPSYCHOLOGISTS
NPI 1063568210
Clinical Neuropsychologist in Chicago, IL

Active since January 28, 2007
200 S MICHIGAN AVE, SUITE 710, CHICAGO, IL 60604(312) 212-1776(312) 212-1778 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michigan Avenue Neuropsychologists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN AVENUE NEUROPSYCHOLOGISTS (NPI 1063568210) is a healthcare organization registered as a clinical neuropsychologist in Chicago, Illinois and active in the NPI registry since January 2007. The organization lists Diana Susan Goldstein, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1063568210
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameGOLDSTEIN NEUROPSYCHOLOGISTS PC
Location Address200 S MICHIGAN AVE, SUITE 710Chicago, IL 60604-2402
Mailing Address200 S Michigan Ave, Suite 710Chicago, IL 60604-2402 · (312) 212-1776 · Fax (312) 212-1778
Phone(312) 212-1776
Fax(312) 212-1778
Organization SubpartNo
Authorized OfficialDiana Susan GoldsteinPresident & Ceo · (312) 212-1776
Enumeration DateJanuary 28, 2007
Last NPPES UpdateJune 8, 2009
✔ NPI 1063568210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in IL · 071006006✔ Licensed in IN · 20041441A
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologistTaxonomy 103T00000X · License 071006006 (IL), 20041441A (IN)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 071006006 (IL), 20041441A (IN)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071006006 (IL), 20041441A (IN)
200 S MICHIGAN AVE, Chicago, IL 60604
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Other Names 1

Doing Business AsMichigan Avenue Neuropsychologists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michigan Avenue Neuropsychologists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Michigan Avenue Neuropsychologists, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Kristen Klipfel, PH.D.
Clinical Psychologist
NPI 1245853977
65 E WACKER PL
Chicago, IL 60601
(716) 553-2766
✔ PECOS✔ Accepts Medicare0.5 mi
Rachael Ellison, PHD
Clinical Psychologist
NPI 1265083422
333 N MICHIGAN AVE STE 1801
Chicago, IL 60601
(312) 345-0933
✔ PECOS0.6 mi
Sharlet Anderson, PH.D.
Clinical Psychologist
NPI 1528432044
333 N MICHIGAN AVE STE 912
Chicago, IL 60601
(312) 332-6100
✔ PECOS✔ Accepts Medicare0.6 mi
Wing Fong, PHD
Clinical Psychologist
NPI 1073821096
1 BARNES JEWISH HOSPITAL PLZ DIV NEUROLOGY NEUROPSYCHOLOGY
Saint Louis, MO 63110
(314) 362-1408
✔ PECOS264 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goldstein Neuropsychologists PC's NPI number?

The NPI number for Goldstein Neuropsychologists PC is 1063568210. It was assigned to this organization in the NPPES registry on January 28, 2007. The provider is doing business as Michigan Avenue Neuropsychologists.

Where is Goldstein Neuropsychologists PC located?

Goldstein Neuropsychologists PC is located at 200 S Michigan Ave Suite 710, Chicago, IL 60604. The listed phone number is (312) 212-1776.

What is Goldstein Neuropsychologists PC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Goldstein Neuropsychologists PC enrolled in Medicare?

Yes. Goldstein Neuropsychologists PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goldstein Neuropsychologists PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Goldstein Neuropsychologists PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Goldstein Neuropsychologists PC was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.