Individual provider Active NPI

Robert Vincent Gouthro Jr., M.D.

  • Psychiatry Physician
  • Weston, WI
National Provider Identifier
1285752089
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
53075-020 Issued in WI
Practice address
5703 Memorial CT
Weston, WI 54476-6502
Phone
(715) 204-9808
NPI assigned
Mar 27, 2007
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 53075-020 WI Primary

Addresses

Primary practice location

5703 Memorial CT
Weston, WI 54476-6502

Mailing address

5703 Memorial CT
Weston, WI 54476-6502
Phone (715) 204-9808

Other practice location 1

2680 Vernon Dr
Green Bay, WI 54304-5374
Phone (920) 496-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000391 WI Practitioner - PsychiatryPractitioner - General Practice 5698813509 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Wisconsin, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of WoodGroup PAC ID 3476554692, shared by 3 NPIs, 15 clinicians
DRG Clinical SCGroup PAC ID 4082053616, 6 clinicians

Practice addresses (Care Compare)

111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone (715) 421-8820

1600 N Chestnut Ave
Marshfield, WI 54449-1449
Phone (715) 387-2188

2941 S Ridge Rd
Green Bay, WI 54304-5517
Phone (715) 204-9808

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.15 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
76.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53075-020WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wood CurrentSince Apr 21, 2025 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince May 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 1, 2023 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Human Services Board Serving North Central Health Care Facility Current Accepting new patients
DRG Clinical, SC Psychiatry CurrentSince Jan 28, 2024 Accepting new patients
County of Wood CurrentSince Oct 27, 2022 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 1, 2023 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince May 1, 2023 Accepting new patients
Human Services Board Serving North Central Heatlh Care Facility CurrentSince Nov 1, 2019 Accepting new patients
Human Services Board Serving North Central Health Care Facility CurrentSince Nov 1, 2019 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Past Accepting new patients
Prevea Clinic, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2941 S Ridge Rd
Green Bay, WI 54304
Phone (920) 336-4096

1600 N Chestnut Ave
Marshfield, WI 54449
Phone (715) 384-2188

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-3000

2251 N Shore Dr
Ste 200
Rhinelander, WI 54501
Phone (715) 361-4602

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600

5703 Memorial Ct
Weston, WI 54476
Phone (715) 204-9808

111 W Jackson St
Wisconsin Rapids, WI 54495
Phone (715) 421-8820

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: rgouthro198918@direct.aspirus.org

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1285752089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 MEMORIAL CT",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544766502",
            "telephone_number": "715-204-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 MEMORIAL CT",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544766502",
            "telephone_number": "715-204-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 Vernon Dr",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543045374",
            "country_code": "US",
            "telephone_number": "920-496-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUTHRO",
        "first_name": "ROBERT",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "53075-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.