Individual provider Active NPI

Karlene E Goodman, MD

  • Psychiatry Physician
  • Arlington Heights, IL
National Provider Identifier
1285749077
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036073389 Issued in IL
Practice address
415 E Golf Rd Ste 115
Arlington Heights, IL 60005-4049
Phone
(773) 271-8345
Fax
(773) 275-0318
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036073389 IL Primary
Psychoanalyst 102L00000X 036073389 IL

Addresses

Primary practice location

415 E Golf Rd Ste 115
Arlington Heights, IL 60005-4049

Mailing address

415 E Golf Rd Ste 115
Arlington Heights, IL 60005-4049
Phone (773) 271-8345

Other identifiers 1

IdentifierTypeStateIssuer
036073389MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000477 IL Practitioner - PsychiatryPractitioner - Internal Medicine 9335132596 Reassigns benefits to 1 organization
Practice locations: Arlington Heights, IL; Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Promed Preferred Il 2 PLLCGroup PAC ID 3870028251, 14 clinicians

Practice addresses (Care Compare)

141 Market PL
Suite 100
Fairview Heights, IL 62208-2089
Phone (618) 398-4226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036073389ILMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Preferred Il 2 PLLC Psychiatry CurrentSince Oct 31, 2024 Accepting new patients
Jonathan D. Lewis MD SC Psychiatry Past Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

141 Market Pl
Ste 100
Fairview Hts, IL 62208
Phone (618) 398-4226

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1285749077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E GOLF RD STE 115",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054049",
            "telephone_number": "773-271-8345",
            "fax_number": "773-275-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E GOLF RD STE 115",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054049",
            "telephone_number": "773-271-8345",
            "fax_number": "773-275-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "KARLENE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036073389",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "IL",
            "license": "036073389",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036073389",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.