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DR. CORRIE ADINA GOLDBERG PH.D.
NPI 1821553934
Psychologist - Clinical in Wilmette, IL

Active since February 02, 2019Opted out of Medicare · through Aug 14, 2027
1189 WILMETTE AVE # 174, WILMETTE, IL 60091(847) 558-1546 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2022, Feb 2, 2019 (2 updates tracked since 2019).

About Dr. Corrie Adina Goldberg Ph.d. NPPES

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

DR. CORRIE ADINA GOLDBERG PH.D. (NPI 1821553934) is an individual clinical provider in Wilmette, Illinois, licensed in Illinois (071.009961) and active in the NPI registry since February 2019. She has opted out of Medicare through August 14, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821553934
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CORRIE ADINA GOLDBERGCredential: PH.D.
Location Address1189 WILMETTE AVE # 174Wilmette, IL 60091-2719
Mailing Address1006 Marion AveHighland Park, IL 60035-5130 · (847) 558-1546
Phone(847) 558-1546
Sole ProprietorYes
Enumeration DateFebruary 2, 2019
Last NPPES UpdateFebruary 7, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1821553934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.009961
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.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 071.009961 (IL)
1189 WILMETTE AVE # 174, Wilmette, IL 60091
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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. Corrie Adina Goldberg Ph.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 August 14, 2019 through August 14, 2027.

Opt-Out Effective DateAugust 14, 2019
Opt-Out In Effect ThroughAugust 14, 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 60091 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.

SHORE THERAPY CENTER FOR WELLNESS, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1189 WILMETTE AVE # 174
WILMETTE, IL 60091
Cook County (847) 558-1546

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 Corrie Goldberg's NPI number?

The NPI number for Corrie Goldberg is 1821553934. It was assigned to this individual provider in the NPPES registry on February 2, 2019.

Where is Corrie Goldberg located?

Corrie Goldberg practices at 1189 Wilmette Ave # 174, Wilmette, IL 60091. The listed phone number is (847) 558-1546.

What is Corrie Goldberg's specialty?

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

Is Corrie Goldberg enrolled in Medicare?

No. Corrie Goldberg has opted out of Medicare through August 14, 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 Corrie Goldberg was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.