Chantea Donielle Goetz, PH.D., M.S.

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

Practice address

4 Merchants Way
Fit Center
Colts Neck, NJ 07722-0772

Phone

(848) 444-9032

NPI assigned

Mar 24, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Michael Brandon LLC

  • Chiropractor
  • Colts Neck, NJ
  • NPI 1750174009
  NPD

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1245980184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MERCHANTS WAY",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077221553",
            "telephone_number": "848-444-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MERCHANTS WAY",
            "address_2": "FIT CENTER",
            "city": "COLTS NECK",
            "state": "NJ",
            "postal_code": "077220772",
            "telephone_number": "848-444-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Merchants Way",
            "address_purpose": "LOCATION",
            "city": "Colts Neck",
            "state": "NJ",
            "postal_code": "077221553",
            "country_code": "US",
            "telephone_number": "848-444-9032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "CHANTEA",
        "middle_name": "DONIELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cgoetz@functionised.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Merchants Way",
            "address_2": "FIT Center",
            "city": "Colts Neck",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077220772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychologist in Colts Neck, NJ
• Providers in Colts Neck, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.