MELISSA NICHOLE OTTO (NPI# 1447794011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447794011 |
| Entity Type | Individual |
| Full Name | MELISSA NICHOLE OTTO |
| Other Name | MELISSA NICHOLE SMITH |
| Credential | PPS |
| Practice Address |
12000 N Virginia Ave Oklahoma City OK 73120-7581 |
| Mailing Address |
2521 Nw 115th Pl Oklahoma City OK 73120-6901 |
| Practice Telephone | 4058356757 |
| Practice Fax Number | 4052131628 |
| Mailing Telephone | (405) 778-1691 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
1447794011 | OK | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
CA | Behavioral Health & Social Service Providers | |
| N | 101YS0200X |
Counselor Specialization: School |
OK | Behavioral Health & Social Service Providers | |
| N | 103TS0200X |
Psychologist Specialization: School |
CA | Behavioral Health & Social Service Providers | |
| Y | 103TS0200X |
Psychologist Specialization: School |
OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | NPI | 1235535352 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3205 Nw 68th St, Oklahoma City, OK 731163303 | 4054961994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815777 | Melissa Anne Otto | Physical Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2018-06-18 |
| 1215261458 | Melissa Marilyn Otto | Case Manager/Care Coordinator | 7501 Belinder Ave, Prairie Village, KS 66208-3659 | 2009-09-21 |
| Street Address |
12000 N VIRGINIA AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-7581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548613425 | Raphael Bonelle | Behavioral Analyst | 12000 N Virginia Ave, Oklahoma City, OK 73120-7581 | 2016-07-15 |
| 1154815660 | Brittney Geneva Frazier | Case Manager/Care Coordinator | 12000 N Virginia Ave, Oklahoma City, OK 73120 | 2018-06-18 |
| 1992233548 | Amy Jean Stark | Counselor | 12000 N Virginia Ave, Oklahoma City, OK 73120-7581 | 2017-05-26 |
| 1487199246 | Rickey House | Case Manager/Care Coordinator | 12000 N Virginia Ave, Oklahoma City, OK 73120-7581 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891148045 | Emily Anderson | Psychologist | 10220 Lyndon Rd, Oklahoma City, OK 73120-4206 | 2016-07-22 |
| 1679819015 | Lacori C Bryant | Psychologist | 100 W Wilshire Blvd # 220, Oklahoma City, OK 73116-9050 | 2012-12-12 |
| 1912283656 | Carrie L Wedman | Psychologist | 10501 Dorothy Dr, Oklahoma City, OK 73162-6848 | 2011-10-26 |
| 1861718702 | Charolette Ann Myles-nixon | Psychologist | 2231 Nw 16th St, Oklahoma City, OK 73107-4926 | 2010-04-16 |
| 1215384441 | Leila Bryan | Psychologist | 13404 N Meridian Ave, Oklahoma City, OK 73120-8311 | 2016-05-17 |
| 1053651703 | Alyssa Warshay | Psychologist | 8901 S Santa Fe Ave, Oklahoma City, OK 73139-8413 | 2013-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808274 | Laticia D Vacca | Psychologist | 210 N Magnolia, Stratford, OK 74872-4808 | 2020-10-09 |
| 1972136455 | Kristin Clouser | Psychologist | 10141 S 92nd East Ave, Tulsa, OK 74133-6932 | 2020-02-12 |
| 1306216742 | Christopher John Klein | Psychologist | 6216 S Lewis Ave Ste 138, Tulsa, OK 74136-1084 | 2015-09-28 |
| 1952783342 | Lisa Pate | Psychologist | 407 Hughes Dr, Poteau, OK 74953-5437 | 2015-06-23 |
| 1700286069 | Kimberly Tedford | Psychologist | 117 Elwood Dr, Edmond, OK 73013-4413 | 2014-08-23 |
| 1174934350 | Stacy Mckinney | Psychologist | 18000 Highway 105, Meridian, OK 73058-9671 | 2014-05-09 |
| 1528402989 | Dede Marann Stephens | Psychologist | 5085 S. Hwy 48, Coleman, OK 73432-0219 | 2013-04-29 |
| 1134469505 | Sue E Hoppe | Psychologist | 155 West Peterson Drive, Mead, OK 73449 | 2013-02-22 |
| 1528331220 | Karen Louise Reese | Psychologist | 313 N Aster Pl, Broken Arrow, OK 74012-8583 | 2012-02-12 |
| 1114217429 | Fairland Public Schools | Psychologist | 202 W Washington Ave, Fairland, OK 74343-4220 | 2011-04-08 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on MELISSA NICHOLE 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.