Katherine Oberle Gotham, PH.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

PSY3294 Issued in TN

Practice address

1500 21St Avenue, Room 2272
Vanderbilt Department of Psychiatry Outpatient Clinics
Nashville, TN 37212-6105

Phone

(734) 761-3471

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Katherine Brunwasser Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1194938266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 POSTWOOD PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372051604",
            "telephone_number": "734-277-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 21ST AVENUE, ROOM 2272",
            "address_2": "VANDERBILT DEPARTMENT OF PSYCHIATRY OUTPATIENT CLINICS",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372126105",
            "telephone_number": "734-761-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTHAM",
        "first_name": "KATHERINE",
        "middle_name": "OBERLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3294",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014640",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TN",
            "license": "PSY3294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BRUNWASSER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abigail Goss, APRN
• Danielle Goss
• James Alexander Goss, MD
• Meredith LM Gossett, LCSW
• Kellie Gotangco
• Alisa Carman Gotte, M.D.
• Emily Gottlick
• Courtney Doyle Goudeau, NP
• Spencer Alan Goudeau, PA-C
• Edward R Gould, MD

• Child & Adolescent Psychiatry Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Child & Adolescent Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.