Individual provider Active NPI

Laurie B. Goldman, M.D.

  • Psychiatry Physician
  • Arlington Heights, IL
National Provider Identifier
1083692719
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036085367 Issued in IL
Practice address
1655 N Arlington Heights Rd
Suite 301W
Arlington Heights, IL 60004-3982
Phone
(847) 686-6666
Fax
(847) 686-6666
NPI assigned
Jan 3, 2006
Last updated
Jan 5, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036085367 IL Primary

Addresses

Primary practice location

1655 N Arlington Heights Rd
Suite 301W
Arlington Heights, IL 60004-3982

Mailing address

1655 N Arlington Heights Rd
Suite 301-W
Arlington Heights, IL 60004-3982
Phone (847) 686-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 31, 2019 through May 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036085367ILMDPsychiatry Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1083692719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 301-W",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043982",
            "telephone_number": "847-686-6666",
            "fax_number": "847-686-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 301W",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043982",
            "telephone_number": "847-686-6666",
            "fax_number": "847-686-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "LAURIE",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036085367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.