Dr. Mitchell Robert Goldstein
M.D. | Psychiatry | Child & Adolescent | 37+ years Exp
107 N Eddy St, South Bend
Indiana, 46617-2920
574-246-1036 574-246-1634
Maps & DirectionsDr. Mitchell Robert Goldstein is a South Bend, Indiana based psychiatrist with 37 years of experience in Child & Adolescent. He completed his graduation from New York Medical College in 1988. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Mitchell Robert Goldstein is 01041575 for Child & Adolescent in Indiana. His current practice location is 107 N Eddy St, South Bend. Patients can reach him at 574-246-1036 or can fax him at 574-246-1634. Dr. Mitchell Robert Goldstein is M.D. in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1659335636.
Dr. Mitchell Robert Goldstein has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. Mitchell Robert Goldstein speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Mitchell Robert Goldstein |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | M.D. |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 107 N Eddy St, South Bend, Indiana, 46617-2920 |
| Phone: | 574-246-1036 |
| Fax: | 574-246-1634 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 8527257922 |
| Enrollment ID: | I20110118000215 |
| NPI Number: | 1659335636 |
| NPI Enumeration Date: | 14 Apr, 2006 |
| NPI Last Update On: | 25 Nov, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mitchell Robert Goldstein are as mentioned below.
| License Number | Specialization | State | Status | |
| 01041575 | Child & Adolescent | Indiana | Primary | |
| 01041575 | Psychiatry | Indiana | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mitchell Robert Goldstein such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100346980B | Medicaid | Indiana | |
| 100346980A | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Mitchell Robert Goldstein 107 N Eddy St, South Bend, Indiana |
| Zip: | 46617-2920 |
| Phone Number: | 574-246-1036 |
| Fax Number: | 574-246-1634 |
Patients can reach Dr. Mitchell Robert Goldstein at
107 N Eddy St, South Bend, Indiana or can
call to book an appointment on 574-246-1036.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.