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THEODORE M GOETZ PHD PC
NPI 1184991705
Psychologist - Clinical in Athens, GA

Active since November 28, 2011
1751 S LUMPKIN ST, ATHENS, GA 30606(706) 548-9441 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theodore M Goetz Phd Pc NPPES

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

THEODORE M GOETZ PHD PC (NPI 1184991705) is a healthcare organization registered as a clinical in Athens, Georgia and active in the NPI registry since November 2011. The organization lists Theodore M Goetz, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1184991705
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTHEODORE M GOETZ PHD PC
Location Address1751 S LUMPKIN STAthens, GA 30606-4740
Mailing Address1751 S Lumpkin StAthens, GA 30606-4740 · (706) 548-9441
Phone(706) 548-9441
Organization SubpartNo
Authorized OfficialTheodore M GoetzPsychologist · (706) 548-9441
Enumeration DateNovember 28, 2011
✔ NPI 1184991705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · 698
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.
1751 S LUMPKIN ST, Athens, GA 30606
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore M Goetz Phd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Theodore M Goetz Phd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Theodore Goetz, PH.D.
Clinical Psychologist
NPI 1669463766
1751 S LUMPKIN ST
Athens, GA 30606
(706) 548-9441
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Theodore M Goetz Phd PC's NPI number?

The NPI number for Theodore M Goetz Phd PC is 1184991705. It was assigned to this organization in the NPPES registry on November 28, 2011.

Where is Theodore M Goetz Phd PC located?

Theodore M Goetz Phd PC is located at 1751 S Lumpkin St, Athens, GA 30606. The listed phone number is (706) 548-9441.

What is Theodore M Goetz Phd PC's specialty?

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

Is Theodore M Goetz Phd PC enrolled in Medicare?

Yes. Theodore M Goetz Phd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Theodore M Goetz Phd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Theodore M Goetz Phd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Theodore M Goetz Phd PC was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.