Otto Johann Arnoscht, PH.D.
Individual provider Active NPI Clinical Psychologist · Wetumpka, AL
NPI 1407075153 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407075153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0425 (AL)
- Practice address
- 45 Cedar Ridge Dr
Wetumpka, AL 36093-3828 - Phone
- (334) 399-9115
- Fax
- (866) 614-8582
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020000188 | AL | Practitioner - Clinical Psychologist | 4385651421 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0425 | AL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Psychology, Inc | Clinical | Current |
Accepting new patients |
Locations
7755 4th Ave S
Birmingham, AL 35206
Phone (205) 833-0146
2257 Taylor Rd
Ste 200
Montgomery, AL 36117
Phone (334) 270-9914
1736 Taliaferro Trl
Montgomery, AL 36117
Phone (334) 270-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0425 | AL | Yes |
Addresses
Primary practice location
45 Cedar Ridge Dr
Wetumpka, AL 36093-3828
Mailing address
45 Cedar Ridge Dr
Wetumpka, AL 36093-3828
Phone (334) 399-9115
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51516955ARN | Other | AL | BLUE CROSS BLUE SHIELD OF |
Other providers in Wetumpka, AL
- Lee Aldrich
- Nancy H Alexander
- All Motions Supplies LLC
- American Family Care, LLC
- Jim G Anderson
- Brittany Miller Asuncion
- At Home Medical, Inc.
- B&B'S Health Boutique LLC
- B&B'S Health Boutique LLC
- Michael Baker
All providers in Wetumpka, AL · Clinical Psychologist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.