Tanya Nicole Goodwin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4762 Issued in NC

Practice address

289 Olmsted Blvd
Pinehurst, NC 28374-8730

Phone

(910) 295-6007

NPI assigned

Oct 14, 2013

Last updated

Oct 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tanya Goodwin Ward Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243

  Clinical

  Medicare reassignment NPD
• Primary Health Choice, Inc.

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1598903072
  Medicare reassignment NPD
• Carolina's Medical & Wellness Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurinburg, NC
  • NPI 1134987100
  Medicare reassignment
• Optum Behavioral Care of North Carolina, PC

  dba Carolina Behavioral Care Centers

  • Counseling Psychologist
  • Hillsborough, NC
  • NPI 1629843933
  NPD
• Primary Health Choice, Inc.

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1609182575
  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1184052953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 OLMSTED BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 OLMSTED BLVD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748730",
            "telephone_number": "910-295-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "TANYA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "WARD",
            "middle_name": "GOODWIN",
            "credential": "PSYD, HSP-P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shakayla Goins
• Amy E Gonzales, PA-C
• Enrique Luis Gonzalez, QBA
• Jenny Kissell Gooch
• Giovonnie Goodwin
• Deborah Anne Gordon, RN
• Sisira Gorthala, M.D.
• Ranjeet Kumar Goswami, M.D
• Matthew Ryan Grafenberg, M.D.
• Dusty Star Graham, FNP

• Clinical Psychologist in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.