Individual provider Active NPI

Antoinette Goosby, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1992668917
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R248982 Issued in MD
Practice address
7700 Old Georgetown Rd Ste 675
Bethesda, MD 20814-6100
Phone
(301) 973-6102
Fax
(301) 381-9284
NPI assigned
Dec 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 408135 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP500014076 DC
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R248982 MD Primary

Addresses

Primary practice location

7700 Old Georgetown Rd Ste 675
Bethesda, MD 20814-6100

Mailing address

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296
Phone (301) 973-6102

Other practice location 1

1660 L St NW Ste 308
Washington, DC 20036-5641
Phone (301) 973-6102

Other practice location 2

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296
Phone (301) 973-6102

Other practice location 3

353 Lexington Ave Fl 4
New York, NY 10016-1060
Phone (301) 973-6102

Other identifiers 1

IdentifierTypeStateIssuer
MDH0297006MedicaidMD

Other names 1

  • Antoinette Nicole Goosby Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NP500014076DCMDPsychiatric/Mental Health Nurse Practitioner
R248982MDMDPsychiatric/Mental Health Nurse Practitioner
408135NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inside and Out Psychiatry LLC Single Specialty Current Accepting new patients

Locations

7700 Old Georgetown Rd
Ste 675
Bethesda, MD 20814
Phone (250) 780-8734

5457 Twin Knolls Rd
Ste 300
Columbia, MD 21045
Phone (410) 696-5142

Organizations & group practices 1

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": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1992668917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453296",
            "telephone_number": "301-973-6102",
            "fax_number": "301-381-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD GEORGETOWN RD STE 675",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146100",
            "telephone_number": "301-973-6102",
            "fax_number": "301-381-9284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 L St NW Ste 308",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365641",
            "country_code": "US",
            "telephone_number": "301-973-6102",
            "fax_number": "301-381-9284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5457 Twin Knolls Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210453296",
            "country_code": "US",
            "telephone_number": "301-973-6102",
            "fax_number": "301-381-9284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "353 Lexington Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100161060",
            "country_code": "US",
            "telephone_number": "301-973-6102",
            "fax_number": "301-381-9284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOSBY",
        "first_name": "ANTOINETTE",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408135",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP500014076",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R248982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDH0297006",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOINETTE",
            "last_name": "GOOSBY",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.