IndividualActive
Opal Pettis, MD
NPI 1083798060 · Child & Adolescent Psychiatry Physician · Washington, DC
Provider details
- NPI number
- 1083798060
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 042343 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2301 M St Nw
Kaiser Permanente Northwest DC Medical Center
Washington, DC 20037-1427
Phone: (202) 419-6200
Approximate (ZIP-level) locationGet directions
Mailing address
2101 E Jefferson St
Rockville, MD 20852-4908
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2022-02-04
- Certified
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.