Dr. John D Otis Jr., PHD
Psychologist, Clinical in Chestnut Hill, Massachusetts
1659476125- Practice location
- 64 High Rock Ter, Chestnut Hill, MA 02467-2654
- Phone
- 617-233-2625
- Fax
- —
- Last updated
- December 21, 2023
John Donald Otis is a Psychologist, Clinical based in Chestnut Hill, MA. John Donald Otis practices in Chestnut Hill, MA and has the professional credentials of PHD. The NPI Number for John Donald Otis is 1659476125 and holds a License No. 8507 (MA). The current practice location address for John Donald Otis is 64 High Rock Ter, Chestnut Hill, MA 02467-2654 and can be reached out via phone at 617-233-2625.
Provider Profile Details
- NPI Number
- 1659476125
- Provider Name
- John Donald Otis
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 64 High Rock Ter, Chestnut Hill, MA 02467-2654
- Phone Number
- 617-233-2625
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 13, 2006
- Last Update Date
- December 21, 2023
- Certification Date
- December 21, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 High Rock Ter
Chestnut Hill, MA 02467-2654 - City
- Chestnut Hill
- State
- Massachusetts
- Zip
- 02467-2654
- Phone Number
- 617-233-2625
Provider Business Mailing Address Details
- Address
- 64 High Rock Ter
Chestnut Hill, MA 02467-2654 - City
- Chestnut Hill
- State
- MA
- Zip
- 02467-2654
License Information
- License Number
- 8507
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Chestnut Hill, MA
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Frequently Asked Questions
What is the NPI number of Dr. John D Otis Jr., PHD?
The NPI number of Dr. John D Otis Jr., PHD is 1659476125. It was assigned on September 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. John D Otis Jr., PHD?
Dr. John D Otis Jr., PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 8507.
Where does Dr. John D Otis Jr., PHD practice?
The practice location is 64 High Rock Ter, Chestnut Hill, MA 02467-2654. The office can be reached at 617-233-2625 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659476125 directly on the NPPES registry website.