Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitch Otu, MD, MBA

Individual provider Child & Adolescent Psychiatry Physician · NPI 1154785061

Mitch Otu, MD, MBA is a Psychiatry in Providence, Rhode Island. Graduated from University of Southern California Keck School of Medicine in 2016, 10 years ago. Works from 2 locations. Licensed in California and Rhode Island.

Years since qualifying
10
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA, RI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 432-1408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1611 Nw 12th Ave, Miami, FL 33136-1005 — (502) 533-0568

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A195345 (CA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence MD17209 (RI)

Record details

NPI number1154785061
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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