Nathaniel Goldblatt, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071007696 Issued in IL

Practice address

2835 N Sheffield Ave Ste 204
Chicago, IL 60657-5083

Phone

(312) 863-9549

NPI assigned

Dec 1, 2009

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1861720971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 W RACE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226248",
            "telephone_number": "773-880-2400",
            "fax_number": "773-880-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N SHEFFIELD AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575083",
            "telephone_number": "312-863-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBLATT",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071007696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Goldberg, L.C.S.W.
• Scott Goldberg
• Tristin Goldberg, LCSW
• Anna Rose Goldberger, LCSW
• Benjamin Goldberger, MSW
• Stuart Lee Goldblatt, D.D.S.
• Goldblatts of Chicago Limited Partnership
• Goldcoast Orthopaedic and Spine Surgery
• Golden Hour Acupuncture, LLC
• Golden Hour Psychiatry, PLLC

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.