DR. MICHAEL WILLIAM OTTO (NPI# 1841219847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841219847 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL WILLIAM OTTO |
| Credential | PHD |
| Practice Address |
55 Fruit Street Wac 812 Massachusetts General Hospital Boston MA 02114 |
| Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6177263488 |
| Practice Fax Number | 6177267541 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6177262894 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 4871 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750355541 | Michael F Otto | Family Medicine | 1833 2nd Ave S-mail Stop 39300a, Riverway Clinic - Anoka, Anoka, MN 55303-2432 | 2006-02-16 |
| 1639168891 | Michael Otto | Physician Assistant | 730 W Market St Ste 2k, Lima, OH 45801-4602 | 2005-10-19 |
| 1043579147 | Michael Paul Otto | Counselor | 1259 S Cedar Crest Blvd Ste 325, Allentown, PA 18103 | 2012-05-09 |
| 1144342700 | Michael D. Otto | Dentist | 3223 4th St Sw, Mason City, IA 50401-1583 | 2007-04-04 |
| 1992875264 | Michael Henry Otto | Specialist | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-0000 | 2006-11-08 |
| 1558324590 | Michael E Otto | Physical Therapist | 1951 Bench Rd, Suite E, Pocatello, ID 83201-2073 | 2006-04-10 |
| Street Address |
55 FRUIT STREET WAC 812 MASSACHUSETTS GENERAL HOSPITAL |
| City | BOSTON |
| State | MA |
| Zip Code | 02114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854094 | Adam Scott Landsman | Podiatrist | 55 Fruit Street, Dept. of Orthopaedics/podiatry Service, Boston, MA 02114-2696 | 2005-07-08 |
| 1013532373 | Fei Wu | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb444, Boston, MA 02114-2696 | 2020-06-12 |
| 1376163816 | Amine Mohamed Marc Awad | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Internal Medicine Residency Program Manager, Gary Bigel, Boston, MA 02114 | 2020-04-24 |
| 1760011167 | Ellen Clare Mail | Social Worker | 55 Fruit Street, Wacc 023, Boston, MA 02114 | 2020-04-07 |
| 1831726199 | Bennet S Cho | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb-425, Boston, MA 02114 | 2020-03-26 |
| 1841827276 | Brian Jacob Kinsman | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb444, Boston, MA 02114 | 2020-03-25 |
| 1700413408 | Madhur Nayan | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Boston, MA 02114 | 2020-03-24 |
| 1629605233 | Jimmitti Teysir | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb-7-730, Boston, MA 02114 | 2020-03-24 |
| 1841823010 | Mark Wu | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Department of Radiology, Boston, MA 02114-2698 | 2020-02-17 |
| 1831721430 | William Yuanchen Shi | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Division of Cardiac Surgery, Cox 630, Massachusetts Gen, Boston, MA 02114 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
| 1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
| 1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
| 1942826813 | David Leo Pendergast | Psychologist | 36 A St Unit 6c, Boston, MA 02127-1870 | 2020-06-17 |
| 1063035566 | Hermine Muskat | Psychologist | 1313 Washington St Apt 521, Boston, MA 02118-2170 | 2020-05-19 |
| 1750914503 | Stephanie Petit Jean Louis | Psychologist | 80 Fenwood Rd Unit 405, Boston, MA 02115-6138 | 2020-02-20 |
| 1164078754 | Alexandria Miller | Psychologist | 801 Massachusetts Ave # 2067, Boston, MA 02118-2605 | 2019-08-10 |
| 1356824288 | Mira Mooreville Nurko | Psychologist | 71 Rockview St, Boston, MA 02130-2147 | 2018-09-06 |
| 1083195416 | Lawrence Pilkington Stifler | Psychologist | 99 Summer St Fl 12, Boston, MA 02110-1213 | 2018-08-23 |
| 1952896326 | Amy R. Pettit | Psychologist | 11 Deerfield St, Boston, MA 02215-5600 | 2018-06-27 |
| Find all providers in BOSTON | ||||
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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.