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MATTIE DAVIS WHITE MD
NPI 1144363458
Psychiatry & Neurology - Child & Adolescent Psychiatry in Washington, DC

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
2041 MARTIN LUTHER KING JR AVE SE STE 239, WASHINGTON, DC 20020(202) 547-8450 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mattie Davis White Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTIE DAVIS WHITE MD (NPI 1144363458) is an individual child & adolescent psychiatry provider in Washington, District Of Columbia, licensed in Maryland (D0037605) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1983).

NPPES Registry Identity

NPI1144363458
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameMATTIE DAVIS WHITECredential: MD
Location Address2041 MARTIN LUTHER KING JR AVE SE STE 239Washington, DC 20020-7034
Mailing Address2041 Martin Luther King Jr Ave Se Ste 239Washington, DC 20020-7034 · (202) 547-4850 · Fax (202) 610-7147
Phone(202) 547-8450
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1983
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1144363458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MD · D0037605
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2041 MARTIN LUTHER KING JR AVE SE STE 239, Washington, DC 20020
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Other Identifiers 2

Medicaid092200900DC
Other2084P0804XDC · Taxonomy Code

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mattie Davis White Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597706390
PECOS Enrollment IDI20050520000814
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mattie White reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mbi Health Services LLC
3.5 mi
Community/Behavioral Health
4130 HUNT PL NE
Washington, DC 20019
  • Reassigned Medicare billing, District of Columbia enrollment
  • 86 clinicians in this Medicare group
NPI 1396048070 (202) 388-4300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MEEKA DAVIS
Case Manager/Care Coordinator
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
District of Columbia (202) 574-8450
SAMIULLAH BALOCH BADINI
Psychologist
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
District of Columbia (202) 422-0197
TIFFANY ROBISON
Case Manager/Care Coordinator
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
District of Columbia (202) 547-8450
TIA GRAY
Community Health Worker
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
District of Columbia (202) 547-8450
GRACE OGBANS
Case Manager/Care Coordinator
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
District of Columbia (202) 547-8450
CHARLENE CHIGBUE LPC
Counselor (Professional)
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
District of Columbia (202) 547-8450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mattie White's NPI number?

The NPI number for Mattie White is 1144363458. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Mattie White located?

Mattie White practices at 2041 Martin Luther King Jr Ave SE Ste 239, Washington, DC 20020. The listed phone number is (202) 547-8450.

What is Mattie White's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Mattie White enrolled in Medicare?

Yes. Mattie White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mattie White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mattie White reassigns Medicare benefits to Mbi Health Services LLC (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mattie White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mattie White was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.