THEODORE MICHAEL GOETZ (NPI# 1669463766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669463766 |
| Entity Type | Individual |
| Full Name | THEODORE MICHAEL GOETZ |
| Credential | PH.D. |
| Practice Address |
1751 S Lumpkin St Athens GA 30606-4740 |
| Practice Telephone | 7065489441 |
| Practice Fax Number | 7063548904 |
| Mailing Telephone | 7065489441 |
| Mailing Fax Number | 7063548904 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
698 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1751 S LUMPKIN ST |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538724596 | Rachel F Gottlieb, Phd, LLC | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2019-05-06 |
| 1588159636 | Dr. Patricia S. Brawner Phd, LLC | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2018-06-29 |
| 1902275365 | Benjamin Greenberg | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2015-09-16 |
| 1457607624 | D. Charles Williams, Ph.d. P.C. | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2012-07-25 |
| 1184991705 | Theodore M Goetz Phd PC | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2011-11-28 |
| 1417153974 | Rachel Francine Gottlieb | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2007-06-22 |
| 1013060227 | Anne W. Reynolds | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2007-01-19 |
| 1093867384 | Alyssa G Clark | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2007-01-17 |
| 1780785410 | Rosemary Kathryn Padilla | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2006-09-26 |
| 1598756603 | Anna J Williams | Psychologist | 1751 S Lumpkin St, Athens, GA 30606-4740 | 2005-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1528580677 | Julie Sarno Owens | Psychologist | 1 Ohio University Dept Of, Athens, OH 45701-2942 | 2017-07-11 |
| 1003346578 | Brian T. Wymbs | Psychologist | 1 Ohio University Dept of Psychology, Porter Hall Room 002, Athens, OH 45701-2942 | 2017-06-15 |
| 1649700550 | Timothy Anderson | Psychologist | 1 Ohio University Psychology and Social Work Clinic, Room 002 Athens, Oh 45701-2942 United States, Athens, OH 45701-2942 | 2017-06-13 |
| 1790213213 | Julie Suhr | Psychologist | 250 Porter Hall Dept Of, Athens, OH 45701-1368 | 2017-05-29 |
| 1407384126 | Ryan Christopher Shorey | Psychologist | 1 Ohio University Dept of Psychology, Porter Hall Room, Athens, OH 45701-2942 | 2017-05-25 |
| 1487904454 | Footprints Psychological Services LLC | Psychologist | 1090 Founders Blvd., Ste B, Athens, GA 30606 | 2012-09-17 |
| 1760614119 | Pcap Inc | Psychologist | 215 Hawthorne Park Ste A, Athens, GA 30606-2164 | 2009-08-19 |
| 1295999050 | Nan W Cooley | Psychologist | 2085 S Milledge Ave, Suite 1, Athens, GA 30605-1655 | 2008-07-10 |
| Find all providers in ATHENS | ||||
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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.