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DR. BRUKE TADESSE
NPI 1306861752
Psychologist - Addiction (Substance Use Disorder) in Hyattsville, MD

Active since July 13, 2006
3415 HAMILTON ST STE 9, HYATTSVILLE, MD 20782(301) 779-2461(301) 779-6095 Get Directions Write a Review

NPPES record last updated: April 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bruke Tadesse NPPES

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

DR. BRUKE TADESSE (NPI 1306861752) is an individual addiction (substance use disorder) provider in Hyattsville, Maryland, licensed in Maryland (LC0295) and active in the NPI registry since July 2006. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306861752
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameDR. BRUKE TADESSE
Location Address3415 HAMILTON ST STE 9Hyattsville, MD 20782
Mailing Address3415 Hamilton St Ste 9Hyattsville, MD 20782-3953 · (301) 779-2461 · Fax (301) 779-6095
Phone(301) 779-2461
Fax(301) 779-6095
Sole ProprietorYes
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 13, 2019
✔ NPI 1306861752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in MD · LC0295
Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

3415 HAMILTON ST STE 9, Hyattsville, MD 20782
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Secondary Practice Locations 2

Location 116220 S Frederick Ave, suite 422Gaithersburg, MD 20877-4039 · Phone (301) 963-7222 · Fax (301) 963-2616
Location 26 Montgomery Village Ave Ste 400Gaithersburg, MD 20879-3548 · Phone (301) 963-7222 · Fax (301) 963-2616

Other Identifiers 2

Medicaid1316126121MD
Medicaid1093750697MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 2

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

SAMUEL WOLDEMICHAEL
Counselor (Professional)
3415 HAMILTON ST STE 9
HYATTSVILLE, MD 20782
Prince George's County (301) 538-5659
FAMILY HEALTH CENTER INC.
Clinic/Center (Adult Mental Health)
3415 HAMILTON ST STE 9
W HYATTSVILLE, MD 20782
Prince George's County (301) 779-2461

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 Bruke Tadesse's NPI number?

The NPI number for Bruke Tadesse is 1306861752. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Bruke Tadesse located?

Bruke Tadesse practices at 3415 Hamilton St Ste 9, Hyattsville, MD 20782. The listed phone number is (301) 779-2461.

What is Bruke Tadesse's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

What insurance does Bruke Tadesse accept?

Health plans from Providence Health Plan list Bruke Tadesse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bruke Tadesse was last updated on April 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.