Individual Healthcare Provider
Bruke Tadesse
Provider's NPPES record last updated: April 13, 2019
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1306861752
- Primary Specialty
- Psychologist — Addiction (Substance Use Disorder)
- Practice Location
- Hyattsville, Maryland
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:54 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychologist
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
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.
Taxonomy code 103TA0400X
Provider-Reported License Information
- Psychologist (Maryland)
- LC0295
Practice Locations
Practice Location
3415 Hamilton St Ste 9
Hyattsville, Maryland 20782
Phone: (301) 779-2461
Additional Practice Location
16220 S Frederick Ave
Suite 422
Gaithersburg, Maryland 20877-4039
Phone: (301) 963-7222
Fax: (301) 963-2616
Additional Practice Location
6 Montgomery Village Ave Ste 400
Gaithersburg, Maryland 20879-3548
Phone: (301) 963-7222
Fax: (301) 963-2616
Record Information
- Enumeration Date
- July 13, 2006
- Provider's NPPES Record Last Updated
- April 13, 2019
- NPISignal NPPES Dataset
- August 2026
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