Michigan Avenue Neuropsychologists

LBN: Goldstein Neuropsychologists Pc
Michigan Avenue Neuropsychologists is an health care organization with primary practice located at 200 S Michigan Ave Suite 710, Chicago IL 60604-2402. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Goldstein Neuropsychologists Pc can be contacted via phone (312) 212-1776, or through Goldstein, Diana Susan via phone (312) 212-1776.

Contact Information

Primary practice address
200 S Michigan Ave Suite 710 Chicago IL 60604-2402
Phone: (312) 212-1776
Fax: (312) 212-1778
Website:
Map and Directions
Authorized official contact:
Name: Goldstein, Diana Susan PH.D., ABPP
Phone: (312) 212-1776

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071006006 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20041441A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071006006 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041441A Indiana
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 071006006 Illinois
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 20041441A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071006006 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041441A Indiana

Profile Details

NPI number 1063568210
LBN Legal business name Goldstein Neuropsychologists Pc
DBA Doing business as Michigan Avenue Neuropsychologists
Authorized official Goldstein, Diana Susan PH.D., ABPP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2007
Last updated Jun 8th, 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.

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