Don Ott, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

88-06P Issued in AR

Practice address

2621 W Main St Ste 4
Russellville, AR 72801-2551

Phone

(479) 967-3700

Fax

(479) 967-3323

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in AR

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, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Christian Psychological Resources

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Russellville, AR
  • NPI 1649419607
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780722157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9070",
            "address_2": "2621 WEST MAIN STREET, SUITE 4",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119070",
            "telephone_number": "479-967-3700",
            "fax_number": "479-967-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W MAIN ST STE 4",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012551",
            "telephone_number": "479-967-3700",
            "fax_number": "479-967-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "DON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AR",
            "license": "88-06P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Oppel, QBHP
• Howard Madison Orsburn IV, M.D.
• Orthopaedic Surgeon, P.a.
• Katina Osburn
• Natalie Oswald, RECOVERY ASSISTANT
• Gollsheed Ouranos, MD
• Loren Kayci Overton
• Owen L Kelly MD PA
• Palmer Audiology, PLLC
• Charles Palmer, AU.D.

• Clinical Psychologist in Russellville, AR
• Providers in Russellville, AR by specialty
• Clinical Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.