Michelle Goldwin Kaufman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.009573 Issued in IL

Practice address

1645 W Jackson Blvd Ste 600
Chicago, IL 60612-2847

Phone

(312) 563-0224

Fax

(312) 942-4224

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Michelle Ashley Goldwin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104343987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122847",
            "telephone_number": "312-563-0224",
            "fax_number": "312-942-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W JACKSON BLVD STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122847",
            "telephone_number": "312-563-0224",
            "fax_number": "312-942-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MICHELLE",
        "middle_name": "GOLDWIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GOLDWIN",
            "middle_name": "ASHLEY",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Kaufman, PT, DPT
• Lawrence M Kaufman, M.D.
• Louis R Kaufman, DDS
• Mara Isabella Kaufman
• Maria Kaufman
• Nolynn Kaufman
• Peter Kaufman
• Sharon L Kaufman, LCPC
• Jacinda Kaufmann
• Leon M. Kaufmann, PSY.D

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.