Maria Goldstein, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARIA GOLDSTEIN, PC

Practice address

550 E Boughton Rd Ste 205
Bolingbrook, IL 60440-2396

Phone

(312) 924-1884

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Maria Goldstein, LCSWNPI 1104588722

Title

President

Phone

(630) 333-5487

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Goldstein, LSW

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1104588722
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1225735392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 MANCHESTER DR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605384063",
            "telephone_number": "630-333-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E BOUGHTON RD STE 205",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402396",
            "telephone_number": "312-924-1884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Roosevelt Rd",
            "address_2": "Bldg B, Suite 308",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601375839",
            "country_code": "US",
            "telephone_number": "312-924-1884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARIA GOLDSTEIN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-333-5487",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle V Mancuso, BCBA
• Nibedita Pramanik Mandal, MPT, PT
• Jaelin Mankins
• Donna Ann Marasco, COTA
• Marcia S. Gibson, Psy.D and Associates, P. C..
• Maria Medical LLC
• Maria Nida V. Barino MD LTD
• Patricia Martin, PT
• Ana Martinez-Ruiz, LMT
• Mary Grimwood & Assoc LTD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.