JOHNATHAN GOLDNER PH.D., LPHA
NPI 1144598301
Psychologist in Chicago, IL

Active since December 02, 2011PECOS Enrolled
1501 S CALIFORNIA AVE, CHICAGO, IL 60608(773) 257-5315 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johnathan Goldner Ph.d., Lpha NPPES

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

JOHNATHAN GOLDNER PH.D., LPHA (NPI 1144598301) is an individual psychologist in Chicago, Illinois, licensed in Illinois (071.008064) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144598301
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJOHNATHAN GOLDNERCredential: PH.D., LPHA
Location Address1501 S CALIFORNIA AVEChicago, IL 60608-1732
Mailing Address1501 S California AveChicago, IL 60608-1732 · (773) 257-5315
Sole ProprietorNo
Enumeration DateDecember 2, 2011
NPI 1144598301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071.008064
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1501 S CALIFORNIA AVE, Chicago, IL 60608

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Johnathan Goldner Ph.d., Lpha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Physician Assistant (Surgical)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Emergency Medicine
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Radiology (Diagnostic Radiology)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Internal Medicine
1501 S CALIFORNIA AVE, MT SINAI HOSPITAL, CANCER CARE CENTER
CHICAGO, IL 60608
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608

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 Johnathan Goldner's NPI number?

The NPI number for Johnathan Goldner is 1144598301. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Johnathan Goldner located?

Johnathan Goldner practices at 1501 S California Ave, Chicago, IL 60608. The listed phone number is (773) 257-5315.

What is Johnathan Goldner's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Johnathan Goldner enrolled in Medicare?

Yes. Johnathan Goldner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnathan Goldner was last updated on December 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.