Individual provider Active NPI

Timothy Lynn Goth-Owens, PHD

  • Psychologist
  • East Lansing, MI
National Provider Identifier
1962508911
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301005809 Issued in MI
Practice address
2720 East Lansing Drive
East Lansing, MI 48823
Phone
(517) 337-2900
Fax
(517) 351-1279
NPI assigned
Sep 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301005809 MI Primary

Addresses

Primary practice location

2720 East Lansing Drive
East Lansing, MI 48823

Mailing address

2720 East Lansing Drive
East Lansing, MI 48823
Phone (517) 337-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20130911000029 MI Practitioner - Clinical Psychologist 4486898566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Michigan State University College of Human Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Psychological Services PCGroup PAC ID 6800805060, 9 clinicians

Practice addresses (Care Compare)

2720 E Lansing Dr
East Lansing, MI 48823-7754
Phone (517) 337-2900

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
78.33
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychological Services PC CurrentSince May 30, 2013 Accepting new patients
Comprehensive Psychological Service, PLLC PastSince Dec 9, 2019 Accepting new patients

Locations

2720 E Lansing Dr
East Lansing, MI 48823
Phone (517) 337-2900

Organizations & group practices 2

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962508911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 EAST LANSING DRIVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-337-2900",
            "fax_number": "517-351-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 EAST LANSING DRIVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823",
            "telephone_number": "517-337-2900",
            "fax_number": "517-351-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTH-OWENS",
        "first_name": "TIMOTHY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301005809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.