Dr Tobrina Marcella Goldbaum, PSYD is a
Psychologist - Clinical based in Highland Park, Illinois. Dr Tobrina Marcella Goldbaum is licensed to practice in Illinois (license number 071-008-220) and her current practice location is
1043 Ridgewood Dr, Highland Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 701-4378.
NPI number for Dr Tobrina Marcella Goldbaum is 1467766709 and her current mailing address is 1043 Ridgewood Dr, Highland Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467766709.
Healthcare Provider's Profile
| Full Name | Dr Tobrina Marcella Goldbaum |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1043 Ridgewood Dr, Highland Park, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467766709
- Provider Enumeration Date: 07/28/2010
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Dr Tobrina Marcella Goldbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467766709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071-008-220 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tobrina Marcella Goldbaum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tobrina Marcella Goldbaum, PSYD
1043 Ridgewood Dr,
Highland Park, IL 60035-4023
Ph: (847) 701-4378 | Dr Tobrina Marcella Goldbaum, PSYD
1043 Ridgewood Dr,
Highland Park, IL 60035-4023
Ph: (847) 701-4378 |
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