MR. JUSTIN DAVIS GOLDMAN MA
NPI 1770192130
Psychologist in Hinsdale, IL

Active since July 30, 2020PECOS Enrolled
15 SPINNING WHEEL RD STE 406, HINSDALE, IL 60521(773) 312-3612 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Justin Davis Goldman Ma NPPES

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

MR. JUSTIN DAVIS GOLDMAN MA (NPI 1770192130) is an individual psychologist in Hinsdale, Illinois and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in North Riverside, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770192130
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. JUSTIN DAVIS GOLDMANCredential: MA
Location Address15 SPINNING WHEEL RD STE 406Hinsdale, IL 60521-5400
Mailing Address1307 W Lincoln Hwy Apt 9108Dekalb, IL 60115-2908 · (650) 815-5679
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
NPI 1770192130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
15 SPINNING WHEEL RD STE 406, Hinsdale, IL 60521

Secondary Practice Location 1

Location 17222 W Cermak Rd Ste 703North Riverside, IL 60546-1423 · Phone (773) 312-3612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Justin Davis Goldman Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446720502
PECOS Enrollment IDI20260529001309
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 5

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

Counselor (Mental Health)
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521
Counselor (Professional)
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521
Counselor (Mental Health)
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521
Counselor
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521
Counselor
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521

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 Justin Goldman's NPI number?

The NPI number for Justin Goldman is 1770192130. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Justin Goldman located?

Justin Goldman practices at 15 Spinning Wheel Rd Ste 406, Hinsdale, IL 60521. The listed phone number is (773) 312-3612.

What is Justin Goldman's specialty?

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

Is Justin Goldman enrolled in Medicare?

Yes. Justin Goldman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Goldman was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.