Individual provider Active NPI

Martin Allen Goldstein, PHD

  • Cognitive & Behavioral Psychologist
  • Skokie, IL
National Provider Identifier
1396797213
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Practice address
9239 Gross Point Rd
Suite 102
Skokie, IL 60077-1389
Phone
(847) 786-1500
Fax
(847) 677-5892
NPI assigned
May 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X IL
Cognitive & Behavioral Psychologist 103TB0200X IL Primary
Clinical Psychologist 103TC0700X IL
Clinical Child & Adolescent Psychologist 103TC2200X IL
Rehabilitation Psychologist 103TR0400X IL

Addresses

Primary practice location

9239 Gross Point Rd
Suite 102
Skokie, IL 60077-1389

Mailing address

8047 Kedvale Ave
Skokie, IL 60076-3227
Phone (847) 673-5733

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000845 IL Practitioner - Clinical Psychologist 0840218517 Practice locations: Skokie, IL; Prospect Heights, IL; Highland Park, IL; Naperville, IL; Buffalo Grove, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1347 Crystal Ave
Naperville, IL 60563-0149
Phone (630) 778-6677

8047 Kedvale Ave
Skokie, IL 60076-3227

8047 N Kedvale Ave
Skokie, IL 60076-3227
Phone (847) 786-1500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071-003895ILMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecore SC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396797213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8047 KEDVALE AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763227",
            "telephone_number": "847-673-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9239 GROSS POINT RD",
            "address_2": "SUITE 102",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771389",
            "telephone_number": "847-786-1500",
            "fax_number": "847-677-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARTIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.