1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Psychiatry Neurology
  6. NPI Profile

DR. DAVID LAWRENCE GOLDBERG M.D.
NPI 1487619672
Psychiatry & Neurology - Child & Adolescent Psychiatry in Chicago, IL

Active since April 19, 2006Opted out of Medicare · through Sep 13, 2026
5100 N RAVENSWOOD AVE STE 220, CHICAGO, IL 60640(312) 972-6432(312) 264-2554 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Lawrence Goldberg M.d. NPPES

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

DR. DAVID LAWRENCE GOLDBERG M.D. (NPI 1487619672) is an individual child & adolescent psychiatry provider in Chicago, Illinois, licensed in Illinois (036086646) and active in the NPI registry since April 2006. He has opted out of Medicare through September 13, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487619672
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. DAVID LAWRENCE GOLDBERGCredential: M.D.
Location Address5100 N RAVENSWOOD AVE STE 220Chicago, IL 60640-1710
Mailing Address5100 N Ravenswood Ave Ste 220Chicago, IL 60640-1710 · (312) 972-6432 · Fax (312) 264-2554
Phone(312) 972-6432
Fax(312) 264-2554
Sole ProprietorNo
Enumeration DateApril 19, 2006
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1487619672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036086646
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036086646 (IL)
5100 N RAVENSWOOD AVE STE 220, Chicago, IL 60640
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. David Lawrence Goldberg M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 13, 2018 through September 13, 2026.

Opt-Out Effective DateSeptember 13, 2018
Opt-Out In Effect ThroughSeptember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 David Goldberg's NPI number?

The NPI number for David Goldberg is 1487619672. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is David Goldberg located?

David Goldberg practices at 5100 N Ravenswood Ave Ste 220, Chicago, IL 60640. The listed phone number is (312) 972-6432.

What is David Goldberg's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is David Goldberg enrolled in Medicare?

No. David Goldberg has opted out of Medicare through September 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Goldberg was last updated on September 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.