Organization Active NPI

Goldenstein Psychological Services -GPS

  • Adult Mental Health Clinic/Center
  • Oswego, IL
National Provider Identifier
1972386928
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
GOLDENSTEIN PSYCHOLOGICAL SERVICES -GPS
Practice address
123 W Washington St Ste 320
Oswego, IL 60543-8256
Phone
(630) 881-8388
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Dr. Ryan T. Goldenstein, PSYDNPI 1437427317
Title
Owner/Provider
Phone
(630) 881-8388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 1114
Oswego, IL 60543-1114
Phone (630) 881-8388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030003461 IL Part B Supplier - Clinic/Group Practice 9436505278 Receives reassigned benefits from 1 practitioner
Practice locations: Oswego, IL

National Provider Directory

National Provider Directory

Locations

123 W Washington St
Ste 320
Oswego, IL 60543
Phone (630) 881-8388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1972386928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1114",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605431114",
            "telephone_number": "630-881-8388"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDENSTEIN PSYCHOLOGICAL SERVICES -GPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "GOLDENSTEIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "630-881-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.