JAQUI OTTO (NPI# 1306345293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306345293 |
| Entity Type | Individual |
| Full Name | JAQUI OTTO |
| Practice Address |
1664 Keller Parkway Ste 102 Keller TX 76248 |
| Practice Telephone | 8174925105 |
| Mailing Telephone | 8174925105 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 32976 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1664 KELLER PARKWAY STE 102 |
| City | KELLER |
| State | TX |
| Zip Code | 76248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| 1417406281 | Sandy James | Behavioral Analyst | 328 Anita Ave, Keller, TX 76248 | 2016-09-22 |
| Find all providers in zip 76248 | ||||
| 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 |
|---|---|---|---|---|
| 1124288543 | Daniel Kim | Psychologist | 3500 Oliver Dr, Keller, TX 76248-8668 | 2008-06-10 |
| 1063633972 | Marylyn Christine Sines | Psychologist | 1858 Keller Pkwy Ste D, Keller, TX 76248-3758 | 2007-05-01 |
| 1700911351 | Kelly Renee Goodness | Psychologist | 121 Olive St, Keller, TX 76248-2238 | 2007-02-23 |
| 1679611727 | Susan J. Brinkley | Psychologist | 8724 Shadow Trace Dr, Keller, TX 76248-7969 | 2007-02-01 |
| 1043697774 | Kate Stark | Psychologist | 8821 Davis Blvd, #310, Keller, TX 76248 | 2015-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352340 | Frisco Psychology Group Inc | Psychologist | 3725 Angeles Ave, Mckinney, TX 75070-5402 | 2020-09-24 |
| 1356956783 | Yvonne Ann Fritz | Psychologist | 1402 S Custer Rd, Mckinney, TX 75072-1451 | 2020-09-11 |
| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1912519802 | Monica Munoz | Psychologist | 1204 Greendale Dr, Bedford, TX 76022-7789 | 2020-08-20 |
| 1033720305 | Albabeth Sarraga Rios | Psychologist | 2801 Bacon Ranch Rd, Killeen, TX 76542-3070 | 2020-08-11 |
| 1558988030 | Catherine Wisenberg Abrahamson | Psychologist | 2806 Winding Shore Ln, Katy, TX 77450-5707 | 2020-06-30 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1770108839 | Tamara Knapp-grosz | Psychologist | 9312 Benefit Dr, Aubrey, TX 76227-5726 | 2020-06-14 |
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
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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.