NPIMap

Individual provider Active NPI

Julie Anne Otten

  • Psychiatry Physician
  • Omaha, NE
National Provider Identifier
1508892837
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17264 Issued in NE
Practice address
2132 S 42ND St
Omaha, NE 68105-2910
Phone
(402) 558-1858
Fax
(402) 558-8970
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17264 NE Primary
Psychiatry Physician 2084P0800X 26898 IA

Addresses

Primary practice location

2132 S 42ND St
Omaha, NE 68105-2910

Mailing address

PO Box 31009
Omaha, NE 68131-0009
Phone (402) 554-1210

Other identifiers 1

IdentifierTypeStateIssuer
1059105MedicaidIA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17264NEMDPharmacist
26898IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan'S Boys Home Past Accepting new patients
James Severa Psychiatry Past Accepting new patients
Brighter Day Health, LLC Past Accepting new patients
Associated Counseling Professionals PC PastSince Apr 1, 2017 Accepting new patients
Brighter Day Health LLC PastSince Aug 1, 2014 Accepting new patients
James D. Severa Past Accepting new patients

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1508892837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31009",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681310009",
            "telephone_number": "402-554-1210",
            "fax_number": "402-553-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 S 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681052910",
            "telephone_number": "402-558-1858",
            "fax_number": "402-558-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEN",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "17264",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "26898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1059105",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.