Individual provider Active NPI

Erich Goetzel, M.D.

  • Psychiatry Physician
  • Lowell, MA
National Provider Identifier
1891834388
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
215542 Issued in MA
Practice address
35 John St
Lowell, MA 01852-1101
Phone
(978) 275-3879
NPI assigned
Feb 5, 2007
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 215542 MA Primary

Addresses

Primary practice location

35 John St
Lowell, MA 01852-1101

Mailing address

86 Baker Avenue Ext
Ste 100
Concord, MA 01742-2132
Phone (978) 369-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20031117000412 MA Practitioner - Psychiatry 5092629816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eliot Community Human ServicesGroup PAC ID 2062488000, 82 clinicians

Practice addresses (Care Compare)

86 Baker Ave Ext
Suite 100
Concord, MA 01742-2132
Phone (978) 369-1113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Square Medical Group LLC CurrentSince Sep 1, 2018 Accepting new patients
Eliot Community Human Services Current Accepting new patients
Eliot Community Human Services CurrentSince Jan 28, 2017 Accepting new patients
Elliot Community Human Services Past Accepting new patients

Locations

86 Baker Avenue Ext
Ste 100
Concord, MA 01742
Phone (978) 202-4156

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

35 John St
Lowell, MA 01852
Phone (781) 388-6400

43 Dartmouth St
Malden, MA 02148
Phone (781) 306-4820

52 Sharon St
Malden, MA 02148
Phone (781) 338-8800

884 Washington St
Fl 1
Weymouth, MA 02189
Phone (781) 812-1643

884 Washington St
Fl 2
Weymouth, MA 02189
Phone (617) 447-2146

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1891834388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BAKER AVENUE EXT",
            "address_2": "STE 100",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422132",
            "telephone_number": "978-369-1113",
            "fax_number": "617-507-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOHN ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521101",
            "telephone_number": "978-275-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETZEL",
        "first_name": "ERICH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "215542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.