Individual provider Active NPI

Otema A Adade, MD

  • Child & Adolescent Psychiatry Physician
  • Washington, DC
National Provider Identifier
1790945285
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD041667 Issued in DC
Practice address
401 15TH St SE Unit 100-C
Washington, DC 20003-3042
Phone
(202) 370-6872
Fax
(202) 464-5524
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD041667 DC
Child & Adolescent Psychiatry Physician 2084P0804X MD041667 DC Primary

Addresses

Primary practice location

401 15TH St SE Unit 100-C
Washington, DC 20003-3042

Mailing address

401 15TH St SE Unit 100-C
Washington, DC 20003-3042
Phone (203) 952-6919

Other practice location 1

821 Howard Rd SE
Washington, DC 20020-5805
Phone (202) 698-2387

Other practice location 2

5225 Wisconsin Ave NW Ste 400
Washington, DC 20015-2055
Phone (202) 363-1010 ext. 116

Other identifiers 1

IdentifierTypeStateIssuer
080028200MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD041667DCMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus the Center for Behavioral Health and Wellness Brain Injury Medicine CurrentSince Sep 6, 2020 Accepting new patients
The Ross Center for Anxiety & Related Disorders, LLC Past Accepting new patients
The Ross Center for Anxiety & Related Disorders Inc Past Accepting new patients

Locations

50 E St SE
Ste 300
Washington, DC 20003
Phone (202) 342-9287

401 15th St SE
Unit 100C
Washington, DC 20003
Phone (202) 370-6872

Organizations & group practices 3

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1790945285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 15TH ST SE UNIT 100-C",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033042",
            "telephone_number": "203-952-6919",
            "fax_number": "202-464-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 15TH ST SE UNIT 100-C",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033042",
            "telephone_number": "202-370-6872",
            "fax_number": "202-464-5524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 Howard Rd SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200205805",
            "country_code": "US",
            "telephone_number": "202-698-2387",
            "fax_number": "202-698-2467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 Wisconsin Ave NW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200152055",
            "country_code": "US",
            "telephone_number": "202-363-1010 x116",
            "fax_number": "202-363-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADADE",
        "first_name": "OTEMA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD041667",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "DC",
            "license": "MD041667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080028200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.