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DR. HENRY J. GOETZE PH.D.
NPI 1053335232
Psychologist - Clinical in Avon, CO

Active since July 27, 2006Opted out of Medicare · through Jul 15, 2027
100 W. BEAVER CREEK BLVD, SUITE 218, AVON, CO 81620(845) 594-4692(845) 471-1815 Get Directions Write a Review

NPPES record last updated: November 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Henry J. Goetze Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENRY J. GOETZE PH.D. (NPI 1053335232) is an individual clinical provider in Avon, Colorado, licensed in Colorado (3047) and active in the NPI registry since July 2006. He has opted out of Medicare through July 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053335232
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. HENRY J. GOETZECredential: PH.D.
Location Address100 W. BEAVER CREEK BLVD, SUITE 218Avon, CO 81620-8572
Mailing AddressPo Box 8572, 100 W. Beaver Creek Blvd, Suite 218Avon, CO 81620-8572 · (845) 594-4692 · Fax (845) 471-1815
Phone(845) 594-4692
Fax(845) 471-1815
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateNovember 13, 2008
✔ NPI 1053335232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CO · 3047✔ Licensed in NY · 007274
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
100 W. BEAVER CREEK BLVD, Avon, CO 81620
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Other Names 1

Professional Name (2)Dr. Henry J. Goetze Ph.d.

Other Identifiers 3

Other01-0592394Tax Id
Medicare ID-Type UnspecifiedV46822NY
Medicare UPIN010592394NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Henry J. Goetze Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 15, 2015 through July 15, 2027.

Opt-Out Effective DateJuly 15, 2015
Opt-Out In Effect ThroughJuly 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH MCCARROLL
Clinic/Center (Physical Therapy)
100 W. BEAVER CREEK BLVD, 204
AVON, CO 81620
Eagle County (970) 949-9966
KEITH MCCARROLL PT
Physical Therapist
100 W. BEAVER CREEK BLVD, SUITE 204
AVON, CO 81620
Eagle County (970) 949-9966
KELLY M AREMBURG DPT
Physical Therapist
100 W. BEAVER CREEK BLVD, SUITE 204
AVON, CO 81620
Eagle County (970) 949-9966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Goetze's NPI number?

The NPI number for Henry Goetze is 1053335232. It was assigned to this individual provider in the NPPES registry on July 27, 2006. The provider is also known as Dr. Henry J. Goetze Ph.D..

Where is Henry Goetze located?

Henry Goetze practices at 100 W. Beaver Creek Blvd Suite 218, Avon, CO 81620. The listed phone number is (845) 594-4692.

What is Henry Goetze's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Henry Goetze enrolled in Medicare?

No. Henry Goetze has opted out of Medicare through July 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Henry Goetze was last updated on November 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.