Katherine C. Gothard, PSY.S., PSY.D., LLP
NPI 1336392638ActiveIndividual· Psychologist, Clinical· Canton, MI
Psychologist, Clinical (PSY.S., PSY.D., LLP) in Canton, Michigan, licensed in MI, with an NPI issued in October 2008. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1336392638 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.S., PSY.D., LLP |
| Sole proprietor | Yes |
| NPI issued | Oct 30, 2008 |
| Last updated in NPPES | Feb 23, 2024 |
| Certified by provider | Feb 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301013405 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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