Dr David Goodman, DAVID GOODMAN | |
405 Illinois Ave, Suite 2c, St Charles, IL 60174-2963 | |
(630) 377-3535 | |
(630) 530-9527 |
Full Name | Dr David Goodman |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | 405 Illinois Ave, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669586897 | NPI | - | NPPES |
4572009 | Other | IL | BC/BS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
Entity Name | David Goodman Phd Psychologist Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659485878 PECOS PAC ID: 7416909056 Enrollment ID: O20050211000491 |
Mailing Address | Practice Location Address |
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Dr David Goodman, DAVID GOODMAN 405 Illinois Ave, Suite 2c, St Charles, IL 60174-2963 Ph: (630) 377-3535 | Dr David Goodman, DAVID GOODMAN 405 Illinois Ave, Suite 2c, St Charles, IL 60174-2963 Ph: (630) 377-3535 |
Dr. Timothy R. Buhrt, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1120 E Main St Ste 201, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Jillian Fitzpatrick, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1650 E Main St Ste 200, St Charles, IL 60174 Phone: 630-283-2880 | |
Dr. Tetyana Kostyshyna, PSYD, LCPC, LSOE/TP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 555 S Randall Rd Ste 204, St Charles, IL 60174 Phone: 312-818-9300 Fax: 888-488-2604 | |
Andrea Reffett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2320 Dean St Ste 102, St Charles, IL 60175 Phone: 630-443-9100 | |
Dr. Nina Appadurai, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2580 Foxfield Rd Ste 101-4, St Charles, IL 60174 Phone: 630-524-9230 | |
Taylor Levitt, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2580 Foxfield Rd Ste 101, St Charles, IL 60174 Phone: 630-797-9332 | |
Dr. John Alexander Harrow, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2580 Foxfield Rd Ste 101, St Charles, IL 60174 Phone: 630-797-9332 |