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: July 19, 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
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

Other Identifiers 2

Medicaid092200900DC
Other2084P0804XDC · Taxonomy Code

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Case Manager/Care Coordinator
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
Case Manager/Care Coordinator
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
Community Health Worker
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
Community Health Worker
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
Counselor (Professional)
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020
Counselor (Mental Health)
2041 MARTIN LUTHER KING JR AVE SE STE 239
WASHINGTON, DC 20020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144363458, enumerated as an "individual" on February 15, 2007.

The provider is located at 2041 MARTIN LUTHER KING JR AVE SE STE 239 WASHINGTON, DC 20020 and the phone number is (202) 547-8450.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.