Active NPI
Goodman Mental Health LLC
- Psychologist
- Grayslake, IL
National Provider Identifier
1225665441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- GOODMAN MENTAL HEALTH LLC
- Practice address
- 282 Banbury LN
Grayslake, IL 60030-3415 - Phone
- (414) 324-6348
- NPI assigned
- Mar 26, 2020
- Last updated
- Feb 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Jonathan Goodman, PHD
- Title
- President
- Phone
- (414) 324-6348
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
282 Banbury LN
Grayslake, IL 60030-3415
Mailing address
282 Banbury LN
Grayslake, IL 60030-3415
Phone (414) 324-6348
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Grayslake, IL
- NPI 1649380924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738886400000",
"number": "1225665441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 BANBURY LN",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600303415",
"telephone_number": "414-324-6348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 BANBURY LN",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600303415",
"telephone_number": "414-324-6348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODMAN MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-26",
"last_updated": "2025-02-07",
"certification_date": "2025-01-15",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JONATHAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-324-6348",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.