MR. TIRAS GOODWIN RN
NPI 1013433036
Nurse Practitioner - Psychiatric/Mental Health in South Richmond Hill, NY
About Mr. Tiras Goodwin Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIRAS GOODWIN RN (NPI 1013433036) is an individual psychiatric/mental health provider in South Richmond Hill, New York, licensed in New York (408817) and active in the NPI registry since August 2017.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH RICHMOND HILL, NY 11419
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tiras Goodwin's NPI number?
The NPI number for Tiras Goodwin is 1013433036. It was assigned to this individual provider in the NPPES registry on August 22, 2017.
Where is Tiras Goodwin located?
Tiras Goodwin practices at 10154 117th St, South Richmond Hill, NY 11419. The listed phone number is (718) 846-4007.
What is Tiras Goodwin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
When was this NPI record last updated?
The NPPES record for Tiras Goodwin was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Tiras Goodwin, RN · NPI 1013433036
Psychiatric/Mental Health physician in South Richmond Hill, New York. Individual provider, active in the CMS NPPES registry since August 22, 2017.
## Identity
- **NPI:** 1013433036 (Entity type: Individual)
- **Enumerated:** August 22, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 408817 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10154 117TH ST, South Richmond Hill, NY 11419-1906
- **Phone:** (718) 846-4007
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013433036) · Data from the CMS NPPES public registry.