Individual provider Active NPI

Marie Elizabeth Goess-Saurau, B.S.

  • Addiction (Substance Use Disorder) Psychologist
  • Antioch, CA
National Provider Identifier
1598049363
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
Practice address
3707 Sunset Lane
Baart/CDP, Antioch Clinic
Antioch, CA 94509
Phone
(925) 522-0124
Fax
(925) 522-0133
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X CA Primary

Addresses

Primary practice location

3707 Sunset Lane
Baart/CDP, Antioch Clinic
Antioch, CA 94509

Mailing address

3707 Sunset Lane
Baart/CDP, Antioch Clinic
Antioch, CA 94509
Phone (925) 522-0124

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)
Not enrolled
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1598049363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 SUNSET LANE",
            "address_2": "BAART/CDP, ANTIOCH CLINIC",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-522-0124",
            "fax_number": "925-522-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 SUNSET LANE",
            "address_2": "BAART/CDP, ANTIOCH CLINIC",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-522-0124",
            "fax_number": "925-522-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOESS-SAURAU",
        "first_name": "MARIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "B.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

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