David Goodman, Ph.D. Psychologist Associates
LBN: David Goodman, Ph.D. Psychologist Ltd.
David Goodman, Ph.D. Psychologist Associates is an health care organization with primary practice located at 405 Illinois Ave Suite 2C, St Charles IL 60174-2963. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
David Goodman, Ph.D. Psychologist Ltd. can be contacted via phone (630) 377-3535, or through Goodman, David M. via phone (630) 377-3535.
Contact Information
Primary practice address
405 Illinois Ave Suite 2C
St Charles IL 60174-2963
Phone: (630) 377-3535
Fax: (630) 530-9527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071002731 | Illinois |
Profile Details
| NPI number | 1659485878 |
|---|---|
| LBN Legal business name | David Goodman, Ph.D. Psychologist Ltd. |
| DBA Doing business as | David Goodman, Ph.D. Psychologist Associates |
| Authorized official | Goodman, David M. PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | May 29th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659485878 | NPPES |
| Illinois | Other | 4572009 | BC/BS PROVIDER NUMBER |
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