Provider Demographics
NPI:1316432172
Name:GOISSE, CHRISTOPHER J (MSN, MBA, PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:J
Last Name:GOISSE
Suffix:
Gender:M
Credentials:MSN, MBA, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:801 WAYNE AVE STE G100
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4493
Mailing Address - Country:US
Mailing Address - Phone:202-322-9350
Mailing Address - Fax:240-660-5460
Practice Address - Street 1:801 WAYNE AVE STE G100
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4493
Practice Address - Country:US
Practice Address - Phone:301-615-8752
Practice Address - Fax:240-503-3254
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-25
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR236682363LP0808X, 363LP0808X
PARN563906163W00000X
DCRN1041295163W00000X
MD261QM0850X, 261QM0855X
DCNP1041295363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4543559OtherAETNA
MD1048153OtherBEACON HEALTH OPTIONS
MD778129600Medicaid