National Provider Identifier Database

OPAL E PETTIS, MD – NPI #1083798060
Child & Adolescent Psychiatry

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.


Contact Information

OPAL E PETTIS, MD
2301 M ST NW
KAISER PERMANENTE NORTHWEST DC MEDICAL CENTER
WASHINGTON, DC20037-1427
Phone: 202-419-6200
Fax:
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for OPAL E PETTIS

NPI Number 1083798060
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 02/04/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A48065
  • DC License #: 042343
  • DC License #: MD042343
  • CA Medicaid: 00A480650
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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