Active NPI
Allison Paige Otto, PSY.D.
- Clinical Psychologist
- Allentown, PA
National Provider Identifier
1518258698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018030
- Practice address
- 1259 S Cedar Crest Blvd
Suite 325
Allentown, PA 18103-6372 - Phone
- (610) 513-2128
- NPI assigned
- Apr 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | PS018030 | PA | Primary |
Addresses
Primary practice location
1259 S Cedar Crest Blvd
Suite 325
Allentown, PA 18103-6372
Mailing address
1259 S Cedar Crest Blvd
Suite 325
Allentown, PA 18103-6372
Other practice location 1
2132 S 12th St Ste 103
Allentown, PA 18103-4814
Phone (610) 513-2128
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 |
|---|---|---|---|
| PS018030 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537488000000",
"number": "1518258698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 S CEDAR CREST BLVD",
"address_2": "SUITE 325",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 S CEDAR CREST BLVD",
"address_2": "SUITE 325",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036372",
"telephone_number": "610-513-2128"
}
],
"practiceLocations": [
{
"address_1": "2132 S 12th St Ste 103",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181034814",
"country_code": "US",
"telephone_number": "610-513-2128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTTO",
"first_name": "ALLISON",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-25",
"last_updated": "2018-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.