Active NPI
Hilary Caroline Goetz
- Clinical Neuropsychologist
- Fairfax, VA
National Provider Identifier
1447746383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810005955
- Practice address
- 8081 Innovation Park Dr Ste 900
Fairfax, VA 22031-4867 - Phone
- (571) 472-4100
- Fax
- (571) 472-4101
- NPI assigned
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Clinical Psychologist | 103TC0700X | 0810005955 | VA | |
| Clinical Neuropsychologist | 103G00000X | 0810005955 | VA | Primary |
Addresses
Primary practice location
8081 Innovation Park Dr Ste 900
Fairfax, VA 22031-4867
Mailing address
8081 Innovation Park Dr Ste 900
Fairfax, VA 22031-4867
Phone (571) 472-4100
Other practice location 1
8505 Arlington Blvd Ste 450
Fairfax, VA 22031-4630
Phone (703) 280-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1447746383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8081 INNOVATION PARK DR STE 900",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314867",
"telephone_number": "571-472-4100",
"fax_number": "571-472-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8081 INNOVATION PARK DR STE 900",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314867",
"telephone_number": "571-472-4100",
"fax_number": "571-472-4101"
}
],
"practiceLocations": [
{
"address_1": "8505 Arlington Blvd Ste 450",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220314630",
"country_code": "US",
"telephone_number": "703-280-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOETZ",
"first_name": "HILARY",
"middle_name": "CAROLINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005955",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810005955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.