Vanesa D. Goertzen, PHD
NPI 1902921745ActiveIndividual· Psychologist, Cognitive & Behavioral· Fort Bragg, CA
Psychologist, Cognitive & Behavioral (PHD) in Fort Bragg, California, licensed in CA, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1902921745 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Mar 20, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Cognitive & Behavioral Primary | 103TB0200X | PSY17451 | CA |
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 (CA) |
|---|
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |