1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Psychologist
  6. NPI Profile

VIRGINIA L. GOETSCH, PH.D.
NPI 1407105703
Psychologist - Clinical in Decatur, GA

Active since August 31, 2012
775 COMMERCE DR, SUITE 903, DECATUR, GA 30030(770) 301-3578(404) 638-5293 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Virginia L. Goetsch, Ph.d. NPPES

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

VIRGINIA L. GOETSCH, PH.D. (NPI 1407105703) is a healthcare organization registered as a clinical in Decatur, Georgia and active in the NPI registry since August 2012. The organization lists Virginia L Goetsch, President, as its authorized official.

NPPES Registry Identity

NPI1407105703
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameVIRGINIA L GOETSCH, PH.D., LLC
Location Address775 COMMERCE DR, SUITE 903Decatur, GA 30030-2620
Mailing Address5282 Hickory Walk Ter SwConyers, GA 30094-4757 · (770) 301-3578 · Fax (404) 638-5293
Phone(770) 301-3578
Fax(404) 638-5293
Organization SubpartNo
Authorized OfficialVirginia L GoetschPresident · (770) 301-3578
Enumeration DateAugust 31, 2012
Last NPPES UpdateNovember 1, 2012
✔ NPI 1407105703 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 · 2269
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.
775 COMMERCE DR, Decatur, GA 30030
Open in Google Maps ↗

Other Names 1

Doing Business AsVirginia L. Goetsch, Ph.d.

Other Identifiers 3

Medicaid000820817CGA
Medicare PIN68BBGMX
Other11511070GA · Caqh

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

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 Virginia L Goetsch, Ph.D., LLC's NPI number?

The NPI number for Virginia L Goetsch, Ph.D., LLC is 1407105703. It was assigned to this organization in the NPPES registry on August 31, 2012. The provider is doing business as Virginia L. Goetsch, Ph.D..

Where is Virginia L Goetsch, Ph.D., LLC located?

Virginia L Goetsch, Ph.D., LLC is located at 775 Commerce Dr Suite 903, Decatur, GA 30030. The listed phone number is (770) 301-3578.

What is Virginia L Goetsch, Ph.D., LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Virginia L Goetsch, Ph.D., LLC was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.