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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JUSTIN DAVIS GOLDMAN MA
NPI 1770192130
Psychologist - Clinical 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: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 8, 2026, Jul 30, 2020 (2 updates tracked since 2020).

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 clinical provider in Hinsdale, Illinois, licensed in Illinois (071022473) 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 Taxonomy103TC0700X
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
Phone(773) 312-3612
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 30, 2020
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1770192130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071022473
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.
15 SPINNING WHEEL RD STE 406, Hinsdale, IL 60521
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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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 5

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

NOUR ZUBAIDI
Counselor (Mental Health)
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521
Dupage County (773) 312-3612
MARA JANELLE COLEMAN LPC
Counselor (Professional)
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521
Dupage County (773) 312-3612
SYDNEY M RYAN
Counselor (Mental Health)
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521
Dupage County (773) 312-3612
JAQUELINE MENDOZA PEREZ
Counselor
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521
Dupage County (773) 312-3612
ALONZO R CEBALLOS
Counselor
15 SPINNING WHEEL RD STE 406
HINSDALE, IL 60521
Dupage County (773) 312-3612

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, specializing in Clinical, with taxonomy code 103TC0700X.

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 October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.