Rafael F Otero, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

85-3P Issued in AR

Practice address

5425 Plaza Dr
Texarkana, TX 75503-1662

Phone

(903) 838-3711

Fax

(903) 838-8879

NPI assigned

Jun 30, 2006

Last updated

Jan 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Rafael F Otero, PHD, Inc

  • Clinical Psychologist
  • Texarkana, TX
  • NPI 1518902303
  Authorized official Same address or phone

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1497784748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 PLAZA DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031662",
            "telephone_number": "903-838-3711",
            "fax_number": "903-838-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 PLAZA DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031662",
            "telephone_number": "903-838-3711",
            "fax_number": "903-838-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "RAFAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "85-3P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayotokunbo Olosunde, MD
• Oral and Maxillofacial Surgeons of Northeast Texas, P. a.
• Oral and Maxillofacial Surgeons of Northeast Texas, PLLC
• Orpro Inc (OrPro Prosthetics & Orthotics)
• Orthodomicile
• Otm Health & Physical Therapy
• Otolaryngology and Head & Neck Surgery Associates, LLP (The ENT Group)
• Brianna Leigh Otwell, LPC INTERN
• Kouassi Adaman Ouattara, RPH
• Mari Varga Overlock, PH. D.

• Clinical Psychologist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.