Mark Goetz, PHD
NPI 1780978023 · Psychologist · Champlin, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Goetz, PHD is a Psychologist provider in Champlin, MN (NPI 1780978023).
Provider details
- NPI number
- 1780978023
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Rehabilitation Psychologist103TR0400X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Behavioral Health & Social Service Providers
- Counseling Psychologist103TC1900X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-03
- Last updated
- 2021-04-09
- Certified
- 2021-04-09
Frequently asked questions
- What is Mark Goetz's NPI number?
- Mark Goetz's National Provider Identifier (NPI) is 1780978023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Goetz's specialty?
- Mark Goetz is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Mark Goetz located?
- Mark Goetz's practice location on file with NPPES is 11269 Jefferson Hwy N, Champlin, MN 55316-3123.
- What is Mark Goetz's phone number?
- The practice phone number listed in the NPPES registry for Mark Goetz is (763) 236-0600.
- Does Mark Goetz accept Medicare?
- Mark Goetz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Goetz's NPI active?
- Yes — Mark Goetz's NPI (1780978023) is active in the NPPES registry as of the last update on 2021-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.