Mrs Mariella Elle Gotz, PHD, LPC, ATR-BC is a
Psychologist based in Boise, Idaho. Mrs Mariella Elle Gotz is licensed to practice in Idaho (license number PSY-202270) and her current practice location is
1010 W Hays St, Boise, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 284-5273.
NPI number for Mrs Mariella Elle Gotz is 1326172644 and her current mailing address is 1010 W Hays St, Boise, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326172644.
Healthcare Provider's Profile
| Full Name | Mrs Mariella Elle Gotz |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 1010 W Hays St, Boise, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326172644
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 05/02/2023
Medical Identifiers
Medical identifiers for Mrs Mariella Elle Gotz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1326172644 | NPI | - | NPPES |
| 1326172644 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | LPC-3004 (Idaho) | Secondary |
| 103T00000X | Psychologist | PSY-202270 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mariella Elle Gotz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Mariella Elle Gotz, PHD, LPC, ATR-BC 1010 W Hays St, Boise, ID 83702-5435 Ph: (208) 284-5273 | Mrs Mariella Elle Gotz, PHD, LPC, ATR-BC 1010 W Hays St, Boise, ID 83702-5435 Ph: (208) 284-5273 |
Reviews and Comments