Christian J. Otto, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-003609 Issued in IL

Practice address

9 S Fairview Ave
Suite 203
Park Ridge, IL 60068-4033

Phone

(312) 933-7549

Fax

(312) 873-4738

NPI assigned

May 26, 2007

Last updated

Nov 17, 2008By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1144431396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S FAIRVIEW AVE",
            "address_2": "SUITE 203",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684033",
            "telephone_number": "312-933-7549",
            "fax_number": "312-873-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S FAIRVIEW AVE",
            "address_2": "SUITE 203",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684033",
            "telephone_number": "312-933-7549",
            "fax_number": "312-873-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "CHRISTIAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-26",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-003609",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166-000438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Osmani, DO
• Peyton Michael Osmundson, DO
• Lance K. Ostrowski, DDS
• Margaret R Ostrowski, PAC
• OT Laura LLC
• Margaret Overton, MD
• Monica Owerczuk, D.O.
• Reginald Deleon Pacheco
• Anthony J Pacione, MSW
• Jaryd Pacis, DO

• Mental Health Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.