Individual provider Active NPI

Ritu Goel, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1255669222
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R171367 Issued in MD
Practice address
12170 Hayland Farm Way
Ellicott City, MD 21042-6015
Phone
(347) 615-4701
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R171367 MD Primary

Addresses

Primary practice location

12170 Hayland Farm Way
Ellicott City, MD 21042-6015

Mailing address

12170 Hayland Farm Way
Ellicott City, MD 21042-6015
Phone (347) 615-4701

Other practice location 1

2250 Hickory Rd
Plymouth Meeting, PA 19462-1047
Phone (800) 879-4471 ext. 714

Other names 1

  • Ritu Macias Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220131001410 MD Practitioner - Nurse Practitioner 7517350341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R171367MDMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1255669222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12170 HAYLAND FARM WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426015",
            "telephone_number": "347-615-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12170 HAYLAND FARM WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426015",
            "telephone_number": "347-615-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Hickory Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621047",
            "country_code": "US",
            "telephone_number": "800-879-4471 x714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEL",
        "first_name": "RITU",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R171367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITU",
            "last_name": "MACIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.