Individual provider Active NPI

Arika Otani, ED.D.

  • Clinical Psychologist
  • Arnold, MD
National Provider Identifier
1811150485
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02422 Issued in MD
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

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000237 MD Practitioner - Clinical Psychologist 0244398444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02422MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Waypoint Wellness Center, LLC CurrentSince Apr 27, 2022 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.

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

Verify at the official NPI Registry.