Organization Active NPI

Otteson Associates, Inc.

  • Clinical Psychologist
  • Owatonna, MN
National Provider Identifier
1194889352
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP4284 Issued in MN
Legal business name
OTTESON ASSOCIATES, INC.
Doing business as
The Mill Street House
Practice address
209 E Mill St
Owatonna, MN 55060-3008
Phone
(507) 446-0002
Fax
(507) 451-8003
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. James Paul Otteson, PH.D., LP
Title
Licensed Psychologist
Phone
(507) 446-0002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X LP4284 MN Primary
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X LP4284 MN

Addresses

Primary practice location

209 E Mill St
Owatonna, MN 55060-3008

Mailing address

209 E Mill St
Owatonna, MN 55060-3008
Phone (507) 446-0002

Other identifiers 1

IdentifierTypeStateIssuer
048L7OTOtherMNBCBS

Other names 1

  • The Mill Street House Doing business as

National Provider Directory

National Provider Directory

Locations

209 E Mill St
Owatonna, MN 55060
Phone (507) 446-0002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1194889352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E MILL ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603008",
            "telephone_number": "507-446-0002",
            "fax_number": "507-451-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E MILL ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603008",
            "telephone_number": "507-446-0002",
            "fax_number": "507-451-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTESON ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "OTTESON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "507-446-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4284",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "MN",
            "license": "LP4284",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "048L7OT",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mill Street House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.