Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mitchell Robert Goldstein, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1659335636

Dr. Mitchell Robert Goldstein, MD is a Psychiatry in South Bend, Indiana. Graduated from New York Medical College in 1988, 38 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Indiana.

Years since qualifying
38
Trained at
New York Medical College
Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

107 N Eddy St
South Bend, IN 46617-2920
Phone: (574) 246-1036
Fax: (574) 246-1634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 01041575 (IN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 01041575 (IN)

Record details

NPI number1659335636
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2006
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address107 N Eddy St, South Bend, IN 46617-2920

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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