RANDALL LEE OTTO (NPI# 1629174784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629174784 |
| Entity Type | Individual |
| Full Name | RANDALL LEE OTTO |
| Credential | PHD |
| Practice Address |
250 Pond St Braintree MA 02184-5351 |
| Practice Telephone | 7813483904 |
| Practice Fax Number | 7818481245 |
| Mailing Telephone | 7813483904 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6165 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841494689 | Randall Jason Otto | Orthopaedic Surgery | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2007-06-14 |
| Street Address |
250 POND ST |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-5351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084452 | Barbara Jean Wynter | Nurse Practitioner | 250 Pond St, Braintree, MA 02184-5351 | 2005-06-27 |
| 1831703107 | Ashita Shyam Gurnani | Clinical Neuropsychologist | 250 Pond St, Braintree, MA 02184-5351 | 2020-09-03 |
| 1558984534 | Brianna Stemmler | Occupational Therapist | 250 Pond St, Braintree, MA 02184-5351 | 2020-05-25 |
| 1437631033 | Susan Mae Armenia | Social Worker | 250 Pond St, Braintree, MA 02184-5351 | 2018-08-30 |
| 1184105199 | Julia Kathleen Carciero | Social Worker | 250 Pond St, Braintree, MA 02184-5391 | 2018-08-27 |
| 1932563665 | Danielle Young | Rehabilitation Hospital | 250 Pond St, Braintree, MA 02184-5351 | 2016-04-08 |
| 1346621497 | Nathalie Edouard | Physical Therapist | 250 Pond St, Braintree, MA 02184-5351 | 2015-06-15 |
| 1023417755 | Heidi Wennemer, P.C. | Physical Medicine & Rehabilitation | 250 Pond St, Braintree, MA 02184-5351 | 2014-08-19 |
| 1669884540 | Pmr Medical Group PC | Internal Medicine | 250 Pond St, Braintree, MA 02184-5351 | 2014-05-27 |
| 1417377268 | Sophie Billings | Occupational Therapist | 250 Pond St, Braintree, MA 02184-5351 | 2014-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
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| 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 |
|---|---|---|---|---|
| 1952433195 | Phyllis Louise Belcher | Psychologist | 70 Parkside Ave, Braintree, MA 02184-3102 | 2007-03-12 |
| 1841785342 | William Fleming | Psychologist | 482 Washington St, Braintree, MA 02184-4602 | 2018-06-27 |
| 1235416769 | Patricia Schmitz | Psychologist | 639 Granite St, Suite 310, Braintree, MA 02184-5366 | 2011-11-11 |
| 1881848729 | Relationship Resources | Psychologist | 639 Granite St, Suite 414, Braintree, MA 02184-5366 | 2008-11-05 |
| 1528104106 | Nancy B Norton | Psychologist | 111 Grossman Dr, Braintree, MA 02184-4997 | 2007-01-30 |
| 1649293747 | Robert J. Schneider | Psychologist | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-07-26 |
| 1104877539 | Vicki E. Beggs | Psychologist | 111 Grossman Dr, Braintree, MA 02184-4997 | 2006-05-12 |
| 1710954888 | Blue Hills Counseling & Psychiatric Associates PC | Psychologist | 340 Wood Raod, Suite 306, Braintree, MA 02184 | 2006-03-07 |
| 1477529923 | Sheryl Toby Shapiro | Psychologist | 340 Wood Road, Suite 306, Braintree, MA 02184 | 2006-02-24 |
| 1356329031 | Janis M. Soma | Psychologist | 985 Washington St, Braintree, MA 02184-5434 | 2006-01-04 |
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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.