Individual provider Active NPI

Patricia Lohr Goetz, MD

  • Child & Adolescent Psychiatry Physician
  • Canton, OH
National Provider Identifier
1710036231
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35-056415 Issued in OH
Practice address
832 McKinley Ave NW
Canton, OH 44703-2463
Phone
(330) 452-9812
Fax
(330) 430-1288
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-056415 OH
Child & Adolescent Psychiatry Physician 2084P0804X 35-056415 OH Primary

Addresses

Primary practice location

832 McKinley Ave NW
Canton, OH 44703-2463

Mailing address

8 Pitkin Dr
Hudson, OH 44236-2263
Phone (330) 452-9812

Other identifiers 1

IdentifierTypeStateIssuer
0061609MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110524000305 OH Practitioner - Psychiatry 4981880143 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-056415OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Axess Family Services Inc CurrentSince Oct 12, 2025 Accepting new patients
Axess Family Services Inc CurrentSince Oct 12, 2025 Accepting new patients
Coleman Professional Services, Inc. Psychiatry Past Accepting new patients

Locations

390 Robinson Ave
Ste E
Barberton, OH 44203
Phone (330) 564-2697

5968 New Milford Rd
Ravenna, OH 44266

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710036231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PITKIN DR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362263",
            "telephone_number": "330-452-9812",
            "fax_number": "330-430-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447032463",
            "telephone_number": "330-452-9812",
            "fax_number": "330-430-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZ",
        "first_name": "PATRICIA",
        "middle_name": "LOHR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-056415",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35-056415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061609",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.