| Goldenstein Psychological Services -gps | |
|
123 W Washington St Ste 320 Oswego IL 60543-8256 | |
| (630) 881-8388 | |
| Not Available |
| Full Name | Goldenstein Psychological Services -gps |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 W Washington St Ste 320, Oswego, Illinois |
| Authorized Official Name and Position | Ryan T. Goldenstein (OWNER/PROVIDER) |
| Authorized Official Contact | 6308818388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goldenstein Psychological Services -gps Po Box 1114 Oswego IL 60543-1114 Ph: (630) 881-8388 | Goldenstein Psychological Services -gps 123 W Washington St Ste 320 Oswego IL 60543-8256 Ph: (630) 881-8388 |
| NPI Number | 1972386928 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/15/2023 |
| Medicare PECOS PAC ID | 9436505278 |
|---|---|
| Medicare Enrollment ID | O20231030003461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972386928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ryan T Goldenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437427317 PECOS PAC ID: 6608043450 Enrollment ID: I20200320002488 |
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