VANESA D GOERTZEN PHD
NPI 1902921745
Psychologist - Cognitive & Behavioral in Fort Bragg, CA

Q: What is Vanesa Goertzen's NPI number?

The NPI number for Vanesa Goertzen is 1902921745. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Vanesa Goertzen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: When was this NPI record last updated?

The NPPES record for Vanesa Goertzen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment

205 SOUTH ST, FORT BRAGG, CA 95437(707) 964-1251(707) 961-2722 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Vanesa D Goertzen Phd NPPES

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

VANESA D GOERTZEN PHD (NPI 1902921745) is an individual cognitive & behavioral provider in Fort Bragg, California, licensed in California (PSY17451) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1902921745

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameVANESA D GOERTZENCredential: PHD

Location Address205 SOUTH STFort Bragg, CA 95437-5540

Mailing Address205 South StFort Bragg, CA 95437-5540 · (707) 964-1251 · Fax (707) 961-2722

Phone(707) 964-1251

Fax(707) 961-2722

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMarch 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902921745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in CA · PSY17451

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

205 SOUTH ST, Fort Bragg, CA 95437

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Other Identifiers 2

Medicare ID-Type Unspecified551813CA

MedicaidFHC03967FCA

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

Vanesa D Goertzen Phd 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 ID9133135775

PECOS Enrollment IDI20090113000192

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

129 services11 patients

Other Providers at the Same Location NPPES 20

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

MR. WADE JOSEPH GRAY MD

Family Medicine