Emory L Otto, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS005174L Issued in PA

Practice address

1001 E Oregon Rd
Lititz, PA 17543-9205

Phone

(717) 581-3976

Fax

(717) 509-5410

NPI assigned

May 5, 2006

Last updated

Apr 17, 2026By 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

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsylvania Counseling Services Inc.

  • Counselor
  • Lebanon, PA
  • NPI 1669474979
  NPD
• Advanced Behavioral Care

  • Clinical Psychologist
  • Media, PA
  • NPI 1346482841
  NPD (past)
• Advanced Behavioral Care Inc

  • Psychologist
  • Media, PA
  • NPI 1780640292
  NPD (past)
• Elderly Care Counseling Services LLC

  • Group Psychotherapy Psychologist
  • Fort Washington, PA
  • NPI 1821196999
  NPD (past)
• Phoenix Therapy Services, LLC

  • Psychologist
  • Pittsburgh, PA
  • NPI 1245564285
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1396793634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E OREGON RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439205",
            "telephone_number": "717-581-3976",
            "fax_number": "717-509-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E OREGON RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439205",
            "telephone_number": "717-581-3976",
            "fax_number": "717-509-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 S Kinzer Ave",
            "address_purpose": "LOCATION",
            "city": "New Holland",
            "state": "PA",
            "postal_code": "175578736",
            "country_code": "US",
            "telephone_number": "717-581-3976",
            "fax_number": "717-509-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTO",
        "first_name": "EMORY",
        "middle_name": "L",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005174L",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "PA",
            "license": "PS005174L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "180496",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OT582253",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02792700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "227252000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PERSONAL CHOICE",
            "identifier": "166182",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1697570",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4478017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "45733215",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olde Hickory Pharmacy Inc
• Carrie R Olena, HIS
• Brianna Lynn Olivieri, RD
• Leah Michelle Ortiz
• Scott Charles Osborn, DO
• Conrad O Owiny
• Pain Specialists of Lancaster, P.C.
• Keri Ann Palasz, PHD, MS, RDN, LDN
• Michael Victor Palasz, D.M.D.
• Brittany Elizabeth Panetta, AUD

• Psychologist in Lititz, PA
• Providers in Lititz, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.