John Donald Otis is a Clinical in Boston, Massachusetts. John Donald Otis practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Donald Otis is 1659476125. The last update date is 2007-07-08.
John Donald Otis's current location address is 150 S Huntington Ave, Boston, Massachusetts. You can contact this provider via phone number 6172329500. The mailing address for John Donald Otis is 150 S Huntington Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Donald Otis |
|---|---|
| Address | 150 S Huntington Ave, Boston, Massachusetts |
| Phone Number | 6172329500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1659476125 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 150 S Huntington Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21304817 |
| Phone Number | 6172329500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 8507 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to John Donald Otis?
The John Donald Otis has been issued the NPI (National Provider Identifier) 1659476125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the John Donald Otis located?
The John Donald Otis is located at 150 S Huntington Ave, Boston, MA 21304817.
What is John Donald Otis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Donald Otis is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the John Donald Otis receive its 1659476125 assignment from the Centers for Medicare & Medicaid Services?
The John Donald Otis was assigned its 1659476125 by the Centers for Medicare & Medicaid Services on 2006-09-13.
When was the John Donald Otis's information last updated?
The John Donald Otis's information was last updated on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH