Susan Myers Goettsch, M.ED., L.P.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

LP2853 Issued in MN

Practice address

200 1St St SW
Mayo Clinic - Mayo BLDG W-11
Rochester, MN 55905-0001

Phone

(507) 266-8086

Fax

(507) 284-4158

NPI assigned

Nov 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1245507706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "address_2": "MAYO CLINIC - MAYO BLDG W-11",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-266-8086",
            "fax_number": "507-284-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "address_2": "MAYO CLINIC - MAYO BLDG W-11",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-266-8086",
            "fax_number": "507-284-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETTSCH",
        "first_name": "SUSAN",
        "middle_name": "MYERS",
        "name_prefix": "Ms.",
        "credential": "M.ED., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MN",
            "license": "LP2853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Goellner, M.D.
• Ajit Harishkumar Goenka, M.D.
• Jay C Goetting, PT
• Alex Christopher Goettl, PA-C
• Kylee Rochelle Goettsch, MSW, LICSW
• Adam Lee Goetz, PHARMD
• Matthew P Goetz, M.D.
• Rachel Goetze, PH.D.
• Neekal Goetzfridt
• Anna M Goff

• Clinical Child & Adolescent Psychologist in Rochester, MN
• Providers in Rochester, MN by specialty
• Clinical Child & Adolescent Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.