RANDY KURT OTTO PHD
NPI 1003789322
Psychologist in Albuquerque, NM

Active since September 24, 2025PECOS Enrolled
FAMILY MEDICINE CENTER, 2400 TUCKER AVE NE, ALBUQUERQUE, NM 87131(505) 272-2800 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 2, 2026, Nov 17, 2025 (2 updates tracked since 2025).

About Randy Kurt Otto Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDY KURT OTTO PHD (NPI 1003789322) is an individual psychologist in Albuquerque, New Mexico, licensed in New Mexico (PSY-2025-0065) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1003789322
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRANDY KURT OTTOCredential: PHD
Location AddressFAMILY MEDICINE CENTER, 2400 TUCKER AVE NEAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 24, 2025
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1003789322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NM · PSY-2025-0065
Definition
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.
FAMILY MEDICINE CENTER, Albuquerque, NM 87131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Randy Kurt Otto Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082199211
PECOS Enrollment IDI20260326000667
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Otto's NPI number?

The NPI number for Randy Otto is 1003789322. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Randy Otto located?

Randy Otto practices at Family Medicine Center 2400 Tucker Ave NE, Albuquerque, NM 87131. The listed phone number is (505) 272-2800.

What is Randy Otto's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Randy Otto enrolled in Medicare?

Yes. Randy Otto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randy Otto was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.