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

Q: 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.

Q: What is Justin Goldman's specialty?

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

Q: 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 30 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.

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: November 01, 2026.

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

On this page

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Goldman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovative Counseling Partners LLC

8.1 mi

Adult Mental Health

715 LAKE ST STE 806
Oak Park, IL 60301

Reassigned Medicare billing, Illinois enrollment
18 clinicians in this Medicare group

NPI 1437563798 (312) 343-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)