DR. BRIAN GOETSCH (NPI# 1689122657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689122657 |
| Entity Type | Individual |
| Full Name | DR. BRIAN GOETSCH |
| Credential | PSY.D. |
| Practice Address |
2448 E 81st St Ste 2000 Tulsa OK 74137 |
| Mailing Address |
2401 Southwest Blvd Tulsa OK 74107-2726 |
| Practice Telephone | 9182364000 |
| Practice Fax Number | 9182364001 |
| Mailing Telephone | 9185615701 |
| Mailing Fax Number | 9185611173 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
1266 | OK | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2321 E 3rd St, Tulsa, OK 741041831 | 9186220641 | 9186224814 |
| Street Address |
2448 E 81ST ST STE 2000 |
| City | TULSA |
| State | OK |
| Zip Code | 74137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245291012 | Vivian M Stevens | Psychologist | 2448 E 81st St Ste 2000, Tulsa, OK 74137-4271 | 2006-03-31 |
| 1467858662 | Anna Mazur Mosiewicz | Psychologist | 2448 E 81st St Ste 2000, Tulsa, OK 74137-4271 | 2014-11-15 |
| 1225461775 | Sara E Rich | Psychologist | 2448 E 81st St Ste 2000, Tulsa, OK 74137-4271 | 2013-08-19 |
| 1457508525 | Sara Marie Coffey | Psychiatry & Neurology | 2448 E 81st St Ste 2000, Tulsa, OK 74137-4271 | 2008-08-20 |
| 1720274376 | Jason Walter Beaman | Family Medicine | 2448 E 81st St Ste 2000, Tulsa, OK 74137-4271 | 2007-09-18 |
| 1528106614 | Tessa Lynn Chesher | Psychiatry & Neurology | 2448 E 81st St Ste 2000, Tulsa, OK 74137-4271 | 2007-02-02 |
| 1700922820 | Aaron Matthew Pierce | Psychiatry & Neurology | 2448 E 81st St Ste 2000, Tulsa, OK 74137-4271 | 2007-01-29 |
| 1790867687 | Stephen Joseph Brasseux | Psychiatry & Neurology | 2448 E 81st St Ste 2000, Tulsa, OK 74137-4271 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629569264 | Tulsa Professional Psychology, Pllc | Psychologist | 3144 S Winston Ave Ste A, Tulsa, OK 74135-2012 | 2018-05-18 |
| 1861813115 | Karen Lake | Psychologist | 3010 S Harvard Ave, Suite 110, Tulsa, OK 74114-6124 | 2014-01-03 |
| 1124355805 | Paula Hildestad | Psychologist | 7010 S Yale Ave Ste 215, Tulsa, OK 74136-5743 | 2009-11-17 |
| 1770723199 | Beatrice Elizabeth Gorgas | Psychologist | 1819 E 19th St, Tulsa, OK 74104-5407 | 2009-02-25 |
| 1144280751 | Susan K Redwood | Psychologist | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827016 | Grundy Psychological Services, P.C. | Psychologist | 205 Ketchum Avenue, Ketchum, OK 74349 | 2018-10-22 |
| 1891212551 | Mary Elizabeth Mohon | Psychologist | Oklahoma Vamc 921 Ne 13th Street, 11g, Oklahoma City, OK 73104 | 2017-08-24 |
| 1255855110 | Christopher Thomas Copeland | Psychologist | 920 Stanton L Young Blvd # Wp3445, Oklahoma City, OK 73104-5036 | 2017-08-01 |
| 1588063085 | La'queion Ballard | Psychologist | 2221 Ne 24th St, Oklahoma City, OK 73111-3421 | 2014-08-20 |
| 1346660412 | Mental Wellness Services, LLC | Psychologist | 3605 Nw 175th St, Edmond, OK 73012-6901 | 2014-04-16 |
| 1285915710 | Gloria P Okelley | Psychologist | 4400 Hemingway Dr., # 221, Oklahoma City, OK 73118 | 2011-08-29 |
| 1023214392 | Robert J. Powitzky | Psychologist | 4710 Hemlock Cir, Oklahoma City, OK 73162-1938 | 2007-06-25 |
| 1407070790 | Ralph Edmond Lindsey | Psychologist | 115 E 4th Ave, Stillwater, OK 74074-3527 | 2007-04-11 |
| 1497877765 | Omar Wr Muhammad | Psychologist | 3312 E Maxwell Dr, Oklahoma City, OK 73121-2246 | 2007-04-05 |
| 1386787661 | Lisa Myers Black | Psychologist | 4003 24th Ave Ne, Norman, OK 73071-7749 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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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.