Active NPI
David Allen Ott, PH.D.
- Clinical Psychologist
- Orlando, FL
National Provider Identifier
1194777037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7414
- Practice address
- 5201 Raymond St
Orlando, FL 32803-8208 - Phone
- (407) 629-1599
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 5478 | OH | |
| Clinical Psychologist | 103TC0700X | 5478 | OH | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 5478 | OH | |
| Forensic Psychologist | 103TF0200X | 5478 | OH | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 5478 | OH | |
| Psychologist | 103T00000X | 5478 | OH | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PY7414 | FL | |
| Clinical Psychologist | 103TC0700X | PY7414 | FL | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PY7414 | FL | |
| Forensic Psychologist | 103TF0200X | PY7414 | FL | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PY7414 | FL | |
| Psychologist | 103T00000X | PY7414 | FL |
Addresses
Primary practice location
5201 Raymond St
Orlando, FL 32803-8208
Mailing address
3504 Woodley Park PL
Oviedo, FL 32765-5105
Phone (407) 977-5871
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000347111 | Other | OH | ANTHEM |
| 2287047 | Medicaid | OH | |
| 298511000 | Other | OH | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY7414 | FL | MD | Clinical Child & Adolescent Psychologist |
| 5478 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1194777037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 WOODLEY PARK PL",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327655105",
"telephone_number": "407-977-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 RAYMOND ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328038208",
"telephone_number": "407-629-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "DAVID",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OH",
"license": "5478",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5478",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "5478",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "OH",
"license": "5478",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "OH",
"license": "5478",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5478",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "FL",
"license": "PY7414",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7414",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "FL",
"license": "PY7414",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "FL",
"license": "PY7414",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "FL",
"license": "PY7414",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY7414",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000347111",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2287047",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "298511000",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.