DR. KATHERINE C GOTHARD PSY.S., PSY.D., LLP
NPI 1336392638
Psychologist - Clinical in Canton, MI

Q: What is Katherine Gothard's NPI number?

The NPI number for Katherine Gothard is 1336392638. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Q: What is Katherine Gothard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katherine Gothard was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 30, 2008PECOS EnrolledAccepts Medicare Assignment

40158 WARREN RD, CANTON, MI 48187(173) 461-2340 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

On this page

About Dr. Katherine C Gothard Psy.s., Psy.d., Llp NPPES

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

DR. KATHERINE C GOTHARD PSY.S., PSY.D., LLP (NPI 1336392638) is an individual clinical provider in Canton, Michigan, licensed in Michigan (6301013405) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1336392638

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KATHERINE C GOTHARDCredential: PSY.S., PSY.D., LLP

Location Address40158 WARREN RDCanton, MI 48187-4304

Mailing Address40158 Warren RdCanton, MI 48187-4304 · (734) 612-3409

Phone(173) 461-2340

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 30, 2008

Last NPPES UpdateFebruary 23, 2024

NPPES CertifiedFebruary 23, 2024

✔ NPI 1336392638 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 MI · 6301013405

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.

40158 WARREN RD, Canton, MI 48187

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Katherine C Gothard Psy.s., Psy.d., Llp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800066309

PECOS Enrollment IDI20110818000622

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48187 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

$177.36 typical visit price

range $58.04 – $177.36

Typical copayment $44.34 (range $14.51 – $44.34)

Most-billed visit code 99205

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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 Katherine Gothard's NPI number?

The NPI number for Katherine Gothard is 1336392638. It was assigned to this individual provider in the NPPES registry on October 30, 2008.

Where is Katherine Gothard located?

Katherine Gothard practices at 40158 Warren Rd, Canton, MI 48187. The listed phone number is (173) 461-2340.

What is Katherine Gothard's specialty?

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

Is Katherine Gothard enrolled in Medicare?

Yes. Katherine Gothard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katherine Gothard was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.