Individual provider Active NPI

Olivetta Uradu, MD

  • Psychiatry Physician
  • Portsmouth, OH
National Provider Identifier
1659830891
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
68825 Issued in CT
Practice address
802 Clare Ave
Portsmouth, OH 45662-2583
Phone
(740) 876-8449
NPI assigned
Mar 18, 2019
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 68825 CT Primary

Addresses

Primary practice location

802 Clare Ave
Portsmouth, OH 45662-2583

Mailing address

2389 Main St Ste 100
Glastonbury, CT 06033-4617
Phone (475) 224-7799

Other practice location 1

3655 Winchester Ave
Ashland, KY 41101-2065
Phone (606) 393-4632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX, OH, WV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230517001205 CT Practitioner - Psychiatry 5496186074 Reassigns benefits to 2 organizations
I20240930000519 TX Practitioner - Psychiatry 5496186074 Reassigns benefits to 1 organization
I20241114001353 OH Practitioner - Psychiatry 5496186074
I20250102001731 WV Practitioner - Psychiatry 5496186074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68825CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Grace Center Inc CurrentSince Oct 3, 2022 Accepting new patients
Yale University Psychiatry CurrentSince Jan 25, 2024 Accepting new patients
Yale University CurrentSince Jan 25, 2024 Accepting new patients
House of Grace LLC CurrentSince Nov 1, 2024 Accepting new patients
Silver Hill Hospital, Inc CurrentSince May 1, 2023 Accepting new patients
Ultimate Care Behavioral Health Services Past Accepting new patients

Locations

208 Valley Rd
New Canaan, CT 06840
Phone (203) 801-2231

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

802 Clare Ave
Portsmouth, OH 45662
Phone (740) 876-8449

802 Clare Ave
Ste 1
Portsmouth, OH 45662
Phone (475) 355-7881

401 Camden Rd
Huntington, WV 25704
Phone (304) 429-5594

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1659830891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 MAIN ST STE 100",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334617",
            "telephone_number": "475-224-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CLARE AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622583",
            "telephone_number": "740-876-8449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3655 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012065",
            "country_code": "US",
            "telephone_number": "606-393-4632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URADU",
        "first_name": "OLIVETTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "68825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.