Individual provider Active NPI

Tyies Alexander Goines, MSN, PMHNP-BC

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1922814946
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2024074056 Issued in MD
Practice address
8840 Belair Rd
Baltimore, MD 21236-2401
Phone
(443) 939-5346
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2024074056 MD Primary

Addresses

Primary practice location

8840 Belair Rd
Baltimore, MD 21236-2401

Mailing address

8840 Belair Rd
Baltimore, MD 21236-2401

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
I20250401003194 MD Practitioner - Nurse Practitioner 2466975883 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2024074056MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Behavioral Health CurrentSince Mar 1, 2025 Accepting new patients

Locations

8840 Belair Rd
Nottingham, MD 21236
Phone (443) 883-1826

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1922814946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212362401",
            "telephone_number": "443-939-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINES",
        "first_name": "TYIES",
        "middle_name": "ALEXANDER",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "2024074056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.