DR. ROBERT VINCENT GOUTHRO JR. (NPI# 1285752089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285752089 |
| Entity Type | Individual |
| Full Name | DR. ROBERT VINCENT GOUTHRO JR. |
| Credential | M.D. |
| Practice Address |
2680 Vernon Dr Green Bay WI 54304-5374 |
| Practice Telephone | 9204964700 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
53075-020 | WI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 53075 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2680 VERNON DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487676508 | Jeffery Jon Stumbras | Social Worker | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2006-07-25 |
| 1003294729 | Joshua Lee Zimmer | Social Worker | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2015-05-14 |
| 1528445111 | Deborah Ann Goodine | Counselor | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2015-05-03 |
| 1689004830 | Breyan Donath-skeen | Social Worker | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2013-11-24 |
| 1508298100 | Kimberly Van Abel | Counselor | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2013-08-06 |
| 1164668653 | John Schatzman | Counselor | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2009-01-05 |
| 1356502561 | Jennifer E. Montgomery Fischer | Psychiatry & Neurology | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2008-06-19 |
| 1366603896 | Judith A. Feld | Social Worker | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2008-06-18 |
| 1487852406 | Kathryn M. Peterson | Counselor | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2007-07-11 |
| 1578761797 | Richa Aggarwal | Psychiatry & Neurology | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2007-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083871503 | Anima Family Counseling, LLC | Psychiatry & Neurology | 2475 University Ave, Suite A, Green Bay, WI 54302-5099 | 2008-05-21 |
| 1073662938 | Shelley Boehm Mattia | Psychiatry & Neurology | 428 Doty Street, Green Bay, WI 54301 | 2007-01-09 |
| 1386750115 | Peter M Fischer | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2006-08-22 |
| 1043295256 | George D Soncrant | Psychiatry & Neurology | 3000 Riverside Dr, Suite 180, Green Bay, WI 54301-1653 | 2005-12-09 |
| 1295226512 | Pyramid Psychiatric Care, LLC | Psychiatry & Neurology | 2475 University Ave Ste A, Green Bay, WI 54302-5099 | 2018-05-22 |
| 1861993172 | Sbh-green Bay, LLC | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2018-02-22 |
| 1629513973 | Verstehen, LLC | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311-8302 | 2016-12-22 |
| 1922556778 | Sbh-green Bay, LLC | Psychiatry & Neurology | 1351 Ontario Rd, Green Bay, WI 54311 | 2016-09-21 |
| 1033406038 | Emily R Rademacher | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2011-06-29 |
| 1457662249 | David M Mcmahon | Psychiatry & Neurology | 301 E Saint Joseph St, Green Bay, WI 54301-2241 | 2010-06-25 |
| Find all providers in GREEN BAY | ||||
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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.