Active NPI
Bernard Robert Golden
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1932283736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071002850
- Practice address
- 360 W Wellington Ave Apt 7D
Chicago, IL 60657-5631 - Phone
- (773) 665-1666
- NPI assigned
- Oct 25, 2006
- Last updated
- Sep 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071002850 | IL | Primary |
Addresses
Primary practice location
360 W Wellington Ave Apt 7D
Chicago, IL 60657-5631
Mailing address
360 W Wellington Ave Apt 7D
Chicago, IL 60657-5631
Phone (773) 665-1666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251114001799 | IL | Practitioner - Psychologist Billing Independently | 9234620550 | Practice locations: Chicago, IL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Chicago, IL 60657
Phone (312) 642-0265
360 W Wellington Ave Apt
7D
Chicago, IL 60657-5631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071002850 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1932283736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 W WELLINGTON AVE APT 7D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575631",
"telephone_number": "773-665-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 W WELLINGTON AVE APT 7D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575631",
"telephone_number": "773-665-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "BERNARD",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071002850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.