DR. WILLIAM BRADLEY GOELTZ (NPI# 1629142104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629142104 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BRADLEY GOELTZ |
| Credential | PSYD |
| Practice Address |
3203 Stein Blvd Eau Claire WI 54701-6917 |
| Mailing Address |
203 United Way Frederic WI 54837-8938 |
| Practice Telephone | 7155521342 |
| Mailing Telephone | 7153274402 |
| Mailing Fax Number | 7153278509 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2609-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | 855751047520 | 01 |
| WI | 39151900 | 05 | |
| MN | BCBS OF MN | 223E4GO | 01 |
| MN | HEALTH PARTNERS | HP668411 | 01 |
| Street Address |
3203 STEIN BLVD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124293683 | Jill Chaffee | Social Worker | 3203 Stein Blvd, Eau Claire, WI 54701-6917 | 2008-04-25 |
| 1851418982 | Northwest Journey - Eau Claire | Clinic/Center | 3203 Stein Blvd, Eau Claire, WI 54701-6917 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346705951 | Joseph John Abhold | Psychologist | 402 Graham Ave Ste 208, Eau Claire, WI 54701-2633 | 2019-02-07 |
| 1528510633 | Eau Claire Psychologists LLC | Psychologist | 101 N Farwell St, Ste. 204, Eau Claire, WI 54703-3765 | 2016-10-25 |
| 1619125093 | Kristin Mary Wegner | Psychologist | 1802 Warden St, Eau Claire, WI 54703-4960 | 2008-08-28 |
| 1417479809 | Deirdre Paulson-o'donovan | Psychologist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2017-07-07 |
| 1518104074 | Dr Stress & Associates LLC | Psychologist | 1030 Oak Ridge Dr, Eau Claire, WI 54701-4564 | 2009-01-20 |
| 1104026665 | Christian Community Resources, LLC | Psychologist | 2141 Altoona Ave, Suite C, Eau Claire, WI 54701-3429 | 2007-07-23 |
| 1417160953 | Riverside Counseling Clinic, LLC | Psychologist | 130 S Barstow St, Eau Claire, WI 54701-3691 | 2007-05-08 |
| 1760601736 | Christie Tanner | Psychologist | 4330 Golf Ter, Suite 203, Eau Claire, WI 54701-4683 | 2007-04-25 |
| 1699728329 | Marie K Crothers | Psychologist | 2005 Highland Ave, Eau Claire, WI 54701-4455 | 2006-05-17 |
| 1295785806 | Dale Floyd Thomas | Psychologist | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-05-12 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on DR. WILLIAM BRADLEY GOELTZ.
| 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.