Individual provider Active NPI

Anwuri Osademe, PSYD, MA

  • Clinical Psychologist
  • Milwaukee, WI
National Provider Identifier
1316729874
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
532057 Issued in WI
Practice address
4619 N 48TH St
Milwaukee, WI 53218-5120
Phone
(608) 892-8115
NPI assigned
Oct 19, 2023
Reactivated
Sep 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 532057 WI Primary
Clinical Child & Adolescent Psychologist 103TC2200X 532057 WI
Health Service Psychologist 103TH0100X 532057 WI

Addresses

Primary practice location

4619 N 48TH St
Milwaukee, WI 53218-5120

Mailing address

4619 N 48TH St
Milwaukee, WI 53218-5120
Phone (608) 892-8115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130001338 WI Practitioner - Clinical Psychologist 6800374927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2275 Deming Way
Suite 180
Middleton, WI 53562-5527
Phone (608) 282-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
532057WIMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 11, 2026 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jan 11, 2026 Accepting new patients

Locations

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

2275 Deming Way
Ste 180
Middleton, WI 53562
Phone (608) 282-8200

Organizations & group practices 2

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1316729874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 N 48TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185120",
            "telephone_number": "608-892-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 N 48TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185120",
            "telephone_number": "608-892-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSADEME",
        "first_name": "ANWURI",
        "name_prefix": "Dr.",
        "credential": "PSYD, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "deactivation_date": "2025-03-28",
        "reactivation_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "532057",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WI",
            "license": "532057",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "WI",
            "license": "532057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.