Michael Allen Gotowka, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

39119 Issued in TX

Practice address

1737 Briarcrest Dr Ste 24
Bryan, TX 77802-2769

Phone

(979) 436-1956

NPI assigned

Jul 18, 2013

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lamb Behavioral Health Center LLCGroup PAC ID 8628352796, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lamb Behavioral Health Center LLC

  • Psychologist
  • Bryan, TX
  • NPI 1235592296
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457793515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 BRIARCREST DR STE 24",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022769",
            "telephone_number": "979-436-1956",
            "fax_number": "979-846-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 BRIARCREST DR STE 24",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022769",
            "telephone_number": "979-436-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTOWKA",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-18",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "39119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fara Diane Goodwyn, M.ED., BCBA
• Gordon Pratt Jr DDS Ms PA
• Amber Gordon
• Grace Pongnea Gorman
• Cynthia Ann Gosnell, PH.D.
• Kathryn Gowers, PA-C
• Grace Wellness Center
• Grace Wellness PLLC
• Ted Graham, MD
• Dalton Grahmann, PHARMACIST INTERN

• Psychologist in Bryan, TX
• Providers in Bryan, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.