Active NPI
Arika Otani, ED.D.
- Clinical Psychologist
- Arnold, MD
National Provider Identifier
1811150485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 02422
- Practice address
- 1509 Ritchie Hwy
Suite F
Arnold, MD 21012-2742 - Phone
- (410) 757-2077
- NPI assigned
- Jul 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 02422 | MD | Primary |
Addresses
Primary practice location
1509 Ritchie Hwy
Suite F
Arnold, MD 21012-2742
Mailing address
3852 Wildlife LN
Burtonsville, MD 20866-2143
Phone (301) 890-8546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02422 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waypoint Wellness Center, LLC | Current | Accepting new patients |
Locations
1190 Winterson Rd
Ste 160
Linthicum Heights, MD 21090
Phone (410) 684-3406
877 Baltimore Annapolis Blvd
Ste 202
Severna Park, MD 21146
Phone (410) 684-3806
Organizations & group practices 1
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.
-
- Psychologist
- Annapolis, MD
- NPI 1437548237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215043200000",
"number": "1811150485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3852 WILDLIFE LN",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208662143",
"telephone_number": "301-890-8546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 RITCHIE HWY",
"address_2": "SUITE F",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210122742",
"telephone_number": "410-757-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTANI",
"first_name": "ARIKA",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "02422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arnold, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.