Theodore Michael Goetz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

698 Issued in GA

Practice address

1751 S Lumpkin St
Athens, GA 30606-4740

Phone

(706) 548-9441

Fax

(706) 354-8904

NPI assigned

Oct 31, 2005

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 GA

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, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Theodore M Goetz PHD PC

  • Clinical Psychologist
  • Athens, GA
  • NPI 1184991705
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669463766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 S LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306064740",
            "telephone_number": "706-548-9441",
            "fax_number": "706-354-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 S LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306064740",
            "telephone_number": "706-548-9441",
            "fax_number": "706-354-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "THEODORE",
        "middle_name": "MICHAEL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan D Glassman, M.D.
• Edward Stephen Glauser, LPC
• Glenn C. Alex, D.M.D.
• GMG Counseling, LLC
• GNS,LLC
• Nancy Gogal, PT
• Donald S. Goggans, MD
• Thomas Westbrook Goggin, M.D.
• Lena Quach Goh, PHARMD
• Hitesh Gohel, PHARMACIST

• Clinical Psychologist in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.