Ryan Thomas Goldenstein, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071.010019 Issued in IL

Practice address

123 W Washington St Ste 320
Oswego, IL 60543-8256

Phone

(630) 881-8388

Fax

(630) 882-5355

NPI assigned

Dec 7, 2011

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

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Goldenstein Psychological Services -GPS

  • Adult Mental Health Clinic/Center
  • Oswego, IL
  • NPI 1972386928
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1437427317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W WASHINGTON ST STE 320",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438256",
            "telephone_number": "630-881-8388",
            "fax_number": "630-882-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W WASHINGTON ST STE 320",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438256",
            "telephone_number": "630-881-8388",
            "fax_number": "630-882-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENSTEIN",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "5653",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010019",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glastonbury Place PLLC
• Molly Ann Glavan
• Janel E Glover, NP
• Elizabeth Janel Godinho, LSW
• Goldenstein Psychological Services -GPS
• Linda Wolski Gonzales
• Christopher Gorey
• Graceful Therapy, PLLC
• Matthew Graden, LCPC
• Courtney Gradzevicius

• Clinical Psychologist in Oswego, IL
• Providers in Oswego, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.