RANDY KURT OTTO PHD
NPI 1003789322
Psychologist in Albuquerque, NM
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
Specialties & Licenses
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).
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.