Organization Active NPI

Tinu Addams Medical

  • Psychiatry Physician
  • Rochester, NY
National Provider Identifier
1821364878
Registry record updated Mar 23, 2012
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
Practice address
1200 Jefferson Rd
Suite 200
Rochester, NY 14623-3158
Phone
(585) 563-7766
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Dr. Atinuke A. Ogunlade-Addams, MD
Title
Owner
Phone
(585) 563-7766

Specialties & licenses 1

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

Addresses

Primary practice location

1200 Jefferson Rd
Suite 200
Rochester, NY 14623-3158

Mailing address

1200 Jefferson Rd
Suite 200
Rochester, NY 14623-3158
Phone (585) 563-7766

National Provider Directory

National Provider Directory

Locations

1200 Jefferson Rd
Ste 200
Rochester, NY 14623
Phone (585) 563-7766

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1821364878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JEFFERSON RD",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233158",
            "telephone_number": "585-563-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JEFFERSON RD",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233158",
            "telephone_number": "585-563-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINU ADDAMS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "OGUNLADE-ADDAMS",
        "authorized_official_first_name": "ATINUKE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-563-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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 Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.