Jean B Goldsmith, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

2652 W Coyle Ave
Chicago, IL 60645-3215

Phone

(773) 973-0540

Fax

(773) 973-4136

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2013 through Oct 1, 2027

Specialty

Clinical Psychologist

Education

Other, 1973

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598817587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 W COYLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453215",
            "telephone_number": "773-973-0540",
            "fax_number": "773-973-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 W COYLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453215",
            "telephone_number": "773-973-0540",
            "fax_number": "773-973-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "JEAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Goldsby
• Andrea Beth Goldschmidt, PH.D.
• Carolyn Goldschmidt, D.O
• David Andrew Goldsmith, M.D.
• Jacob Ze'Ev Barnett Goldsmith, PH.D.
• Morgan Goldsmith, APRN, PNP-AC
• Rachel Goldsmith, LMFT
• Rachel Evelyn Goldsmith, PH.D.
• Goldstein Emotion-Focused Therapy LLC
• Goldstein Neuropsychologists PC

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, 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 8, 2007; 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; Opt Out Affidavits.
• 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.