Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Christopher Goetz, PHD

Individual provider Rehabilitation Psychologist · NPI 1780978023

Mark Christopher Goetz, PHD is a Rehabilitation Psychologist in Champlin, Minnesota. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
Specialties on file
8
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

11269 Jefferson Hwy N
Champlin, MN 55316-3123
Phone: (763) 236-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Rehabilitation Psychologist Taxonomy 103TR0400X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PY60230406 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY60230406 (WA)
Counseling Psychologist Taxonomy 103TC1900X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PY60230406 (WA)
Family Psychologist Taxonomy 103TF0000X
Health Psychologist Taxonomy 103TH0004X

Record details

NPI number1780978023
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 3, 2011
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021
Mailing address401 14th Ave Se, Puyallup, WA 98372