Guillermo Roberto Otero-Perez, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD428748 Issued in PA

Practice address

101 E Olney Ave
Suite 400
Philadelphia, PA 19120-2421

Phone

(215) 456-7000

Fax

(215) 254-2599

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Puerto Rico School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

CMC of PA, PCGroup PAC ID 7113393497, 9 clinicians

Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• CMC of PA PC

  • Psychiatry Physician
  • Horsham, PA
  • NPI 1083341341
  Medicare reassignment Care Compare group NPD
• Einstein Practice Plan Inc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment Care Compare group NPD
• Bet-El Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethlehem, PA
  • NPI 1922277946

  Psychiatry

  NPD
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433
  NPD
• CMC of PA PC

  • Psychiatry Physician
  • Villanova, PA
  • NPI 1477321230
  NPD (past)
• Complete Mind Care of PA, LLC

  • Adult Mental Health Clinic/Center
  • Abington, PA
  • NPI 1972218667

  Psychiatry

  NPD (past)
• Complete Mind Care Brain Wellness PLLC

  • Psychiatry Physician
  • Coconut Creek, FL
  • NPI 1447056387
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1962441725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-8103",
            "fax_number": "215-456-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE",
            "address_2": "SUITE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202421",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 E Lancaster Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Villanova",
            "state": "PA",
            "postal_code": "190851525",
            "country_code": "US",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Dresher Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Horsham",
            "state": "PA",
            "postal_code": "190442216",
            "country_code": "US",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO-PEREZ",
        "first_name": "GUILLERMO",
        "middle_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT180138",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD428748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Olushola Otabor, MBBS
• Teona Otarashvili, DMD
• Oghenetega Oteri, MA
• Otero Enterprises
• Marielisa Otero Henao, DMD
• Abigail Otero
• Luis E Otero, MSW
• Rosemary Otero
• Yasmin Othman, MD
• Chioma Oti, D.O

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.