Michael Paul Otto, PSY.D., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC005267 Issued in PA

Practice address

1259 S Cedar Crest Blvd Ste 325
Allentown, PA 18103

Phone

(610) 762-5994

NPI assigned

May 9, 2012

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Otto Psychological Associates, LLC

  • Professional Counselor
  • Allentown, PA
  • NPI 1235619131
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1043579147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MACUNGIE AVE",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491643",
            "telephone_number": "610-762-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 S CEDAR CREST BLVD STE 325",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-762-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PSY.D., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juko Alan Otsuki, MD
• Joseph George Ottinger, RPH, MS, MBA, BCPS
• Matthew J Ottinger, PA-C
• Otto Psychological Associates, LLC
• Allison Paige Otto, PSY.D.
• Beth Anne Oudin, ATC, CSCS
• Samantha Owuor
• Berk Ozoglu
• PA Assn for the Blind - Lehigh County Branch (Assn for the Blind & Visually Impaired)
• PA Assn for the Blind Lehigh County Branch (Association for the Blind and Visually Impaired)

• Professional Counselor in Allentown, PA
• Providers in Allentown, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.