Mark Christopher Goetz, PHD
Psychologist · Champlin, MN
Practice location
11269 Jefferson Hwy NChamplin, MN 55316-3123
- Phone
- (763) 236-0600
NPI record
- NPI
- 1780978023
- Entity type
- Individual (Type 1)
- Enumeration date
- June 3, 2011
- Last updated
- April 9, 2021
- Certified
- April 9, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
— | — |
| Rehabilitation Psychologist | 103TR0400X |
— | — |
| Physical Medicine & Rehabilitation Physician | 208100000X |
PY60230406 | WA |
| Clinical Psychologist | 103TC0700X |
PY60230406 | WA |
| Counseling Psychologist | 103TC1900X |
— | — |
| Clinical Child & Adolescent Psychologist | 103TC2200X |
PY60230406 | WA |
| Family Psychologist | 103TF0000X |
— | — |
| Health Psychologist | 103TH0004X |
— | — |
Mailing address
401 14TH Ave SEPuyallup, WA 98372
- Phone
- (253) 697-2700
About Dr. Goetz
Mark Christopher Goetz, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 11269 Jefferson Hwy N, Champlin, MN 55316-3123. The NPI number 1780978023 was assigned on June 3, 2011 and the record was last updated on April 9, 2021.
Dr. Goetz lists 3 licenses in the registry: #PY60230406 (WA) for Physical Medicine & Rehabilitation Physician; #PY60230406 (WA) for Clinical Psychologist; #PY60230406 (WA) for Clinical Child & Adolescent Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark Christopher Goetz, PHD?
The NPI number is 1780978023.
What is the phone number of Dr. Goetz?
The phone number listed for the practice location is (763) 236-0600.
Where is Dr. Goetz located?
11269 Jefferson Hwy N, Champlin, MN 55316-3123.
What is the taxonomy code for Dr. Goetz?
The primary taxonomy code is 103T00000X – Psychologist; 7 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Psychologist providers in Champlin
- Daniel Simonson, MS, LP11157 Zealand Ave N
- Lisa Wilke, PSYD11269 Jefferson Hwy N
- Veemah Integrated Wellness & Consulting Services, LLC11112 Hillsboro Ave N