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

Mr. Justin Davis Goldman, MA

Individual provider Psychologist · NPI 1770192130

Mr. Justin Davis Goldman, MA is a Clinical Psychologist in Hinsdale, Illinois. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations.

Years since qualifying
3
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

15 Spinning Wheel Rd Ste 406
Hinsdale, IL 60521-5400
Phone: (773) 312-3612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7222 W Cermak Rd Ste 703, North Riverside, IL 60546-1423 — (773) 312-3612

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1770192130
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedJuly 30, 2020
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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