Healthcare Provider Details
I. General information
NPI: 1982554473
Provider Name (Legal Business Name): INSIDE AND OUT PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/02/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7700 OLD GEORGETOWN RD STE 675
BETHESDA MD
20814-6100
US
IV. Provider business mailing address
5457 TWIN KNOLLS RD STE 300
COLUMBIA MD
21045-3296
US
V. Phone/Fax
- Phone: 301-973-6102
- Fax: 301-215-7568
- Phone: 301-973-6102
- Fax: 301-215-7568
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANTOINETTE
NICOLE
GOOSBY
Title or Position: PMHNP
Credential: CRNP-PMH
Phone: 301-973-6102