Organization Active NPI

Virginia L Goetsch, PH.D.

  • Clinical Psychologist
  • St Simons Island, GA
National Provider Identifier
1912776410
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VIRGINIA L GOETSCH, PH.D.
Practice address
197 Rice ML
Saint Simons Island, GA 31522-5452
Phone
(770) 301-3578
Fax
(866) 753-2536
NPI assigned
Dec 26, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Dr. Virginia L Goetsch, PH.D.NPI 1962523456
Title
Licensed Psychologist
Phone
(770) 301-3578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

197 Rice ML
Saint Simons Island, GA 31522-5452

Mailing address

PO Box 20032
Saint Simons Island, GA 31522-8032
Phone (770) 301-3578

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1912776410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20032",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315228032",
            "telephone_number": "770-301-3578",
            "fax_number": "866-753-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 RICE ML",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225452",
            "telephone_number": "770-301-3578",
            "fax_number": "866-753-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA L GOETSCH, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "GOETSCH",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "770-301-3578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.