Diane Goodman, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071.008020 Issued in IL

Practice address

515 James St Ste 1
Geneva, IL 60134-2187

Phone

(630) 251-8434

Fax

(630) 208-1044

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1114952314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 JAMES ST",
            "address_2": "SUITE #1",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342173",
            "telephone_number": "630-251-8434",
            "fax_number": "630-208-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 JAMES ST STE 1",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342187",
            "telephone_number": "630-251-8434",
            "fax_number": "630-208-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.008020",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George R Gonnella, DO
• Alexandra Gonzalez, LCSW
• Joselyn Gonzalez, DO
• Jill Good
• William A. Goodfellow, M.D.
• Keith Gordey, MD
• Rebecca Gosain, MA, LCPC
• Aprilee Dawn Velez Gostomski, MD
• Goyke Health Center PC
• Kevin Allen Goyke, D.C.

• Psychologist in Geneva, IL
• Providers in Geneva, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.