Richard Stuart Goldberg, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036056868 Issued in IL

Practice address

8311 Roosevelt Rd
Forest Park, IL 60130-2529

Phone

(708) 814-6600

Fax

(708) 209-2283

NPI assigned

Oct 13, 2006

Last updated

Oct 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Uhs of Hartgrove, Inc.

  • Psychiatric Hospital
  • Chicago, IL
  • NPI 1396012951

  Psychiatry

  Medicare reassignment NPD
• Richard S. Goldberg, M.D., LTD.

  • Psychiatry Physician
  • Forest Park, IL
  • NPI 1427353184
  Authorized official Same address or phone
• Uhs of Hartgrove, Inc

  dba UHS of Hartgrove-Chatham Counseling Center

  • Child & Adolescent Psychiatry Physician
  • Chicago, IL
  • NPI 1538560339
  NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1356431720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5230",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603055230",
            "telephone_number": "708-814-6600",
            "fax_number": "630-920-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 ROOSEVELT RD",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302529",
            "telephone_number": "708-814-6600",
            "fax_number": "708-209-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "RICHARD",
        "middle_name": "STUART",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "IL",
            "license": "036056868",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "IL",
            "license": "036056868",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036056868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363148505-60611-01",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sareena Green, LCPC
• Caitlin R. Gregory

• Psychiatry Physician in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.