DR. CHRISTIAN J. OTTO (NPI# 1144431396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144431396 |
| Entity Type | Individual |
| Full Name | DR. CHRISTIAN J. OTTO |
| Credential | PH.D. |
| Practice Address |
9 S Fairview Ave Suite 203 Park Ridge IL 60068-4033 |
| Practice Telephone | 3129337549 |
| Practice Fax Number | 3128734738 |
| Mailing Telephone | 3129337549 |
| Mailing Fax Number | 3128734738 |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2008-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180-003609 | IL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 166-000438 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679942841 | Christian Otto | Emergency Medicine | 1504 Taub Loop, Houston, TX 77030-1608 | 2015-09-17 |
| Street Address |
9 S FAIRVIEW AVE SUITE 203 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952546327 | Mary Grant-angioletti | Community/Behavioral Health | 9 S Fairview Ave, 203, Park Ridge, IL 60068-4033 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877523 | Duvia Correa | Counselor | 1137 N Lincoln Ave, Park Ridge, IL 60068-2026 | 2020-10-05 |
| 1285179820 | Brandon Tessers | Counselor | 1440 Renaissance Dr Ste 440, Park Ridge, IL 60068-1414 | 2017-01-05 |
| 1740674266 | Christin Coffey | Counselor | 211 S Hamlin Ave, Park Ridge, IL 60068-3836 | 2015-03-23 |
| 1356782759 | David E Briggs | Counselor | 151 Yost Ave, Park Ridge, IL 60068-5549 | 2013-07-13 |
| 1043528540 | Rachel Wonjung Yoon | Counselor | 1875 Dempster St Ste 330, Park Ridge, IL 60068-1186 | 2010-09-17 |
| 1053595256 | David M. Marks | Counselor | 1550 N Northwest Hwy Ste 108f, Park Ridge, IL 60068-1458 | 2007-12-24 |
| 1992913370 | Thomas Burton Willingham | Counselor | 131 Pascack Rd, Park Ridge, NJ 07656-1124 | 2007-05-18 |
| 1588711790 | Janis L Edwards | Counselor | 408 Elmore St, Park Ridge, IL 60068-3437 | 2007-01-03 |
| 1669444501 | Linda S. Levi | Counselor | 1580 N Northwest Hwy, Suite 111a, Park Ridge, IL 60068-1444 | 2006-02-05 |
| 1386259828 | Aisling Conaty | Counselor | 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 | 2020-09-11 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on DR. CHRISTIAN J. OTTO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.