MICHELLE OTTS (NPI# 1336526045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336526045 |
| Entity Type | Individual |
| Full Name | MICHELLE OTTS |
| Practice Address |
1300 W Lodi Ave Suite G-2 Lodi CA 95242-3000 |
| Practice Telephone | 2093342126 |
| Practice Fax Number | 2093698406 |
| Mailing Telephone | 2093342126 |
| Mailing Fax Number | 2093698406 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1300 W LODI AVE SUITE G-2 |
| City | LODI |
| State | CA |
| Zip Code | 95242-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829431 | Kevin Irving Stroh | Podiatrist | 1300 W Lodi Ave, Ste W, Lodi, CA 95242-3037 | 2005-05-31 |
| 1316483803 | Anisha Ranchhod Dds, Inc. | Clinic/Center | 1300 W Lodi Ave, Suite M, Lodi, CA 95242-3000 | 2017-01-09 |
| 1962743906 | Alexander Scott Malm | Counselor | 1300 W Lodi Ave, G-2, Lodi, CA 95242-3000 | 2013-03-14 |
| 1619243763 | Preferred Prosthetics Inc | Prosthetic/Orthotic Supplier | 1300 W Lodi Ave, Suite H, Lodi, CA 95242-3000 | 2012-03-22 |
| 1275837742 | Marshall E. Gomes | Dentist | 1300 W Lodi Ave, Suite N, Lodi, CA 95242-3000 | 2010-12-27 |
| 1881820751 | Karen Marie Rangel | Counselor | 1300 W Lodi Ave, Ste-g-2, Lodi, CA 95242-3000 | 2009-06-05 |
| 1417183385 | Alex R Anderson | Counselor | 1300 W Lodi Ave, Suite G-2, Lodi, CA 95242-3000 | 2009-06-05 |
| 1942445440 | David R. Vera Sr. | Orthotist | 1300 W Lodi Ave, Suite H, Lodi, CA 95242-3000 | 2008-12-11 |
| 1053535062 | Valley Community Counseling Services, Inc | Community/Behavioral Health | 1300 W Lodi Ave, Ste G-2, Lodi, CA 95242-3000 | 2007-04-12 |
| 1851515522 | Michaela Jensen | Marriage & Family Therapist | 1300 W Lodi Ave, Ste G-2, Lodi, CA 95242-3000 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154871416 | Life Line Centers of California Inc | Counselor | 856 N Sacramento St Ste H, Lodi, CA 95240-1251 | 2016-10-11 |
| 1740631985 | Alexis Cortez-bautista | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2016-06-29 |
| 1467814301 | Michael Compton | Counselor | 441 S. Ham Lane, Suite A, Lodi, CA 95242-3525 | 2016-03-21 |
| 1649419649 | Claudia Irene Fender | Counselor | 1300 W Lodi Ave Ste G2, Lodi, CA 95242-3037 | 2009-02-13 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1548869050 | Heather Lizbeth Pittman | Counselor | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-10-26 |
| 1477151843 | Mackenzie Rick Evans | Counselor | 541 S Ham Ln, Lodi, CA 95242-3530 | 2020-10-16 |
| 1003421314 | Esperanza Gonzales | Counselor | 541 S Ham Ln Ste A&b, Lodi, CA 95242-3530 | 2020-09-14 |
| 1558996900 | Veronica Marie Alfalla | Counselor | 441 S Ham Ln, Lodi, CA 95242-3525 | 2020-03-05 |
| 1306492822 | Abigail Gillett | Counselor | 441 S Ham Ln Ste A, Lodi, CA 95242-3525 | 2019-08-12 |
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| 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.