DR. HENRY J. GOETZE (NPI# 1053335232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053335232 |
| Entity Type | Individual |
| Full Name | DR. HENRY J. GOETZE |
| Other Name | DR. HENRY J. GOETZE |
| Credential | PH.D. |
| Practice Address |
100 W. Beaver Creek Blvd Suite 218 Avon CO 81620-8572 |
| Mailing Address |
Po Box 8572 100 W. Beaver Creek Blvd, Suite 218 Avon CO 81620-8572 |
| Practice Telephone | 8455944692 |
| Practice Fax Number | 8454711815 |
| Mailing Telephone | 8455944692 |
| Mailing Fax Number | 8454711815 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3047 | CO | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
007274 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 01-0592394 | 01 |
| Street Address |
100 W. BEAVER CREEK BLVD SUITE 218 |
| City | AVON |
| State | CO |
| Zip Code | 81620-8572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982853008 | Kelly M Aremburg | Physical Therapist | 100 W. Beaver Creek Blvd, Suite 204, Avon, CO 81620 | 2008-09-12 |
| 1184775827 | Keith Mccarroll | Clinic/Center | 100 W. Beaver Creek Blvd, 204, Avon, CO 81620 | 2007-01-16 |
| 1548330434 | Keith Mccarroll | Physical Therapist | 100 W. Beaver Creek Blvd, Suite 204, Avon, CO 81620 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555386 | Comfort of Your Home Psychiatry | Nurse Practitioner | 175 Hurd Lane, Unit 3212, Avon, CO 81620 | 2020-07-16 |
| 1467076182 | Melina Bjornson | Dentist | 50 Buck Creek Rd #305, Avon, CO 81620 | 2020-05-29 |
| 1598391971 | Jennifer Arens | Acupuncturist | 2170 A Long Spur, Avon, CO 81620 | 2020-03-18 |
| 1093361842 | Vail Clinic, Inc. | Clinic/Center | 1280 Village Rd, Avon, CO 81620 | 2019-08-16 |
| 1295381390 | Vail Clinic, Inc. | Clinic/Center | 126 Riverfront Lane, Suite 101, Avon, CO 81620 | 2019-08-14 |
| 1730747445 | Colorado Mountain Medical, LLC | Obstetrics & Gynecology | 50 Buck Creek Road, Suite 200, Avon, CO 81620 | 2019-05-29 |
| 1891358164 | Mary Elizabeth Harper | Pharmacist | 171 Yodder Ave, Avon, CO 81620 | 2019-04-22 |
| 1679036933 | Sean Thomas Veilleux | Pharmacist | 171 Yoder Ave, Avon, CO 81620 | 2019-04-12 |
| 1447727656 | Casey Aberth | Speech-Language Pathologist | 998 W Beaver Creek Blvd, 311, Avon, CO 81620 | 2018-10-25 |
| 1063924447 | Diana Hellestrae Marshall | Massage Therapist | Ascent Physical Therapy, 90 Lake St, Avon, CO 81620 | 2017-10-25 |
| Find all providers in zip 81620 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644230 | Stacie Freudenberg | Psychologist | 1060 W. Beaver Creek Blvd, Avon, CO 81620 | 2017-08-09 |
| 1932561222 | Farmington Valley Integrative Therapy, LLC | Psychologist | 35 Tower Ln Ste 104, Avon, CT 06001-4237 | 2016-03-24 |
| 1467609065 | Christi M Orlowski | Psychologist | 21 Waterville Road, Avon, CT 06001 | 2008-08-26 |
| 1245494343 | Hsiao-ching Chu | Psychologist | 1 Darling Dr Ste 16, Avon, CT 06001-4244 | 2008-07-17 |
| 1912160417 | Tina Z Fleishman | Psychologist | 30 Benchmark Road, Suite 224, Avon, CO 81620 | 2008-07-03 |
| 1285768754 | Susan J Sampl | Psychologist | 34 Dale Rd Ste 212, Avon, CT 06001-3659 | 2007-03-15 |
| 1427121433 | Jay Rogers Beatman | Psychologist | 46 W Avon Rd, Ste 302, Avon, CT 06001-3679 | 2006-11-16 |
| 1205913340 | Wendy F Habelow | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| 1073567889 | Doris Odell Ryan | Psychologist | 6655 Us 36 East, Cummins Behavioral Health Services, Avon, IN 46123 | 2006-05-19 |
| 1366928053 | Joseph A Cherepon | Psychologist | 21 Waterville Rd, Avon, CT 06001-2097 | 2018-07-16 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.