Organization Active NPI

Tinu Addams Medical PC

  • Psychiatry Physician
  • Elmira, NY
National Provider Identifier
1194928911
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
231915 Issued in NY
Legal business name
TINU ADDAMS MEDICAL PC
Practice address
311 B W Water Street
Elmira, NY 14901-2914
Phone
(607) 733-0660
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Atinuke Ogunlade Addams, M.D.
Title
Owner
Phone
(607) 733-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 231915 NY Primary

Addresses

Primary practice location

311 B W Water Street
Elmira, NY 14901-2914

Mailing address

111 E 14TH St
Elmira Heights, NY 14903-1303
Phone (607) 734-9539

National Provider Directory

National Provider Directory

Locations

206 W Water St
Elmira, NY 14901
Phone (607) 733-0660

311 W Water St
Elmira, NY 14901
Phone (607) 733-0660

311 W Water St
#B
Elmira, NY 14901
Phone (607) 733-0660

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194928911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 14TH ST",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031303",
            "telephone_number": "607-734-9539",
            "fax_number": "607-734-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 B W WATER STREET",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012914",
            "telephone_number": "607-733-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINU ADDAMS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGUNLADE ADDAMS",
        "authorized_official_first_name": "ATINUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-733-0660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "231915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.