Organization Active NPI

Otto Psychological Associates, LLC

  • Professional Counselor
  • Allentown, PA
National Provider Identifier
1235619131
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005267 Issued in PA
Legal business name
OTTO PSYCHOLOGICAL ASSOCIATES, LLC
Practice address
2132 S 12TH St Ste 103
Allentown, PA 18103-4814
Phone
(610) 762-5994
NPI assigned
Aug 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Dr. Michael Paul Otto, PSY.D., LPCNPI 1043579147
Title
Psychotherapist / Owner
Phone
(610) 762-5994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X PC005267 PA Primary

Addresses

Primary practice location

2132 S 12TH St Ste 103
Allentown, PA 18103-4814

Mailing address

930 Macungie Ave
Emmaus, PA 18049-1643
Phone (610) 762-5994

National Provider Directory

National Provider Directory

Locations

2132 S 12th St
Ste 103
Allentown, PA 18103
Phone (484) 350-3447

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": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1235619131",
    "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": "2132 S 12TH ST STE 103",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181034814",
            "telephone_number": "610-762-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST / OWNER",
        "authorized_official_telephone_number": "610-762-5994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.