Active NPI
John Arthur Otte, PSYD
- Clinical Psychologist
- Denver, CO
National Provider Identifier
1245967884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1403
- Practice address
- 5290 E Yale Cir Ste 201
Denver, CO 80222-6933 - Phone
- (720) 635-6274
- NPI assigned
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1403 | CO | Primary |
Addresses
Primary practice location
5290 E Yale Cir Ste 201
Denver, CO 80222-6933
Mailing address
5290 E Yale Cir Ste 201
Denver, CO 80222-6933
Phone (720) 635-6274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1403 | Other | CO | BOARD OF PSYCHOLOGIST EXAMINERS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1403 | CO | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1245967884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5290 E YALE CIR STE 201",
"city": "DENVER",
"state": "CO",
"postal_code": "802226933",
"telephone_number": "720-635-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5290 E YALE CIR STE 201",
"city": "DENVER",
"state": "CO",
"postal_code": "802226933",
"telephone_number": "720-635-6274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTE",
"first_name": "JOHN",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-03",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PSYCHOLOGIST EXAMINERS",
"identifier": "1403",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.