DR. JEAN B GOLDSMITH PHD
NPI 1598817587
Psychologist - Clinical in Chicago, IL

Active since January 18, 2007Opted out of Medicare · through Oct 1, 2027
2652 W COYLE AVE, CHICAGO, IL 60645(773) 973-0540(773) 973-4136 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jean B Goldsmith Phd NPPES

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

DR. JEAN B GOLDSMITH PHD (NPI 1598817587) is an individual clinical provider in Chicago, Illinois and active in the NPI registry since January 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer and is a graduate of Other (1973).

NPPES Registry Identity

NPI1598817587
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEAN B GOLDSMITHCredential: PHD
Location Address2652 W COYLE AVEChicago, IL 60645-3215
Mailing Address2652 W Coyle AveChicago, IL 60645-3215 · (773) 973-0540 · Fax (773) 973-4136
Fax(773) 973-4136
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1598817587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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.
2652 W COYLE AVE, Chicago, IL 60645

Other Identifiers 1

Medicare UPINS18939

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. Jean B Goldsmith Phd 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 October 1, 2013 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2013
Opt-Out In Effect ThroughOctober 1, 2027Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60645 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist
2652 W COYLE AVE
CHICAGO, IL 60645

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 Jean Goldsmith's NPI number?

The NPI number for Jean Goldsmith is 1598817587. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Jean Goldsmith located?

Jean Goldsmith practices at 2652 W Coyle Ave, Chicago, IL 60645. The listed phone number is (773) 973-0540.

What is Jean Goldsmith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jean Goldsmith enrolled in Medicare?

No. Jean Goldsmith has opted out of Medicare through October 1, 2027. 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 Jean Goldsmith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.