Lesley Kuras Otten, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6847 Issued in OH

Practice address

4421 Eastgate Blvd
#300
Cincinnati, OH 45245-4500

Phone

(513) 752-8200

Fax

(513) 752-1078

NPI assigned

Nov 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lotten177197@direct.bsmhealth.org

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.

• Mercy Health Physicians Cincinnati Specialty Care LLC

  • Surgery Physician
  • Blue Ash, OH
  • NPI 1154942795
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Cincinnati LLC

  • Durable Medical Equipment & Medical Supplies
  • Liberty Township, OH
  • NPI 1790281517
  NPD
• Mercy Health Physicians Cincinnati Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Liberty TWP, OH
  • NPI 1730993270
  NPD
• Mercy Health Physicians Cincinnati, LLC

  • Family Medicine Physician
  • Blue Ash, OH
  • NPI 1205887023
  NPD
• The Affinity Center, Inc

  • Specialist
  • Cincinnati, OH
  • NPI 1487866232
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1942586102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 EASTGATE BLVD",
            "address_2": "#300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452454500",
            "telephone_number": "513-752-8200",
            "fax_number": "513-752-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 EASTGATE BLVD",
            "address_2": "#300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452454500",
            "telephone_number": "513-752-8200",
            "fax_number": "513-752-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEN",
        "first_name": "LESLEY",
        "middle_name": "KURAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0124434",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Nicholina Otten, AGPCNP
• Dianne M Otten, PT
• Edward Joseph Otten, MD
• Karen Otten
• Kelsey Otten, BA, CDCA
• Mary E Otten, RN, CNP
• Melissa Marie Otten, PT
• Michelle Lynn Otten, SLP
• Michael Otting
• Grace Ottley, SWT

• Clinical Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.