Virginia L. Goetsch, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY2269 Issued in GA

Practice address

755 Commerce Dr
Suite 903
Decatur, GA 30030-2627

Phone

(770) 301-3578

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Virginia L Goetsch, PH.D.

  • Clinical Psychologist
  • Saint Simons Island, GA
  • NPI 1912776410
  NPD Authorized official
• Family Psychology Associates

  • Clinical Psychologist
  • Lagrange, GA
  • NPI 1184869299
  NPD (past)
• Susan McCarthy Furman, PH.D., LLC

  • Psychologist
  • Decatur, GA
  • NPI 1982749107
  NPD (past)
• Family Psychology Associates, PC

  • Clinical Psychologist
  • Greensboro, NC
  • NPI 1164473195
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962523456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2075",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300312075",
            "telephone_number": "770-301-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 COMMERCE DR",
            "address_2": "SUITE 903",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302627",
            "telephone_number": "770-301-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETSCH",
        "first_name": "VIRGINIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY2269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000820817C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• God'S Helper'S Private Home Care, LLC
• Nikita Godbole, DPT
• Tamara N Godfrey, PHD
• Russell Godwin, LCSW
• Stephan U Goebel, M. D.
• Seri Gohde, LCSW
• Lucila Goicochea Barbaran, LPC
• Shelley Annette Goins, MSW
• Holly Ann Goldberg, OT
• Rebecca Goldberg, PT, DPT

• Clinical Psychologist in Decatur, GA
• Providers in Decatur, 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 9, 2007; 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.