Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KATHLEEN M OTOOLE PHD
NPI 1114967759
Psychologist in Atlanta, GA

Active since June 08, 2006PECOS Enrolled
1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342(404) 250-2849(404) 250-2939 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Kathleen M Otoole Phd NPPES

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

KATHLEEN M OTOOLE PHD (NPI 1114967759) is an individual psychologist in Atlanta, Georgia, licensed in Georgia (001931) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114967759
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHLEEN M OTOOLECredential: PHD
Location Address1001 JOHNSON FERRY RD NEAtlanta, GA 30342
Mailing Address1001 Johnson Ferry Rd NeAtlanta, GA 30342 · (404) 785-2854 · Fax (404) 785-2851
Fax(404) 250-2939
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1114967759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 001931
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 001931 (GA)
1001 JOHNSON FERRY RD NE, Atlanta, GA 30342

Other Names 1

Former Name (1)Kathleen M Otoole

Other Identifiers 1

Medicaid00706329AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen M Otoole Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Anesthesiology
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Nurse Practitioner (Pediatrics)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Pediatrics (Pediatric Emergency Medicine)
1001 JOHNSON FERRY RD NE
ATLANTA, GA 30342

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 Kathleen Otoole's NPI number?

The NPI number for Kathleen Otoole is 1114967759. It was assigned to this individual provider in the NPPES registry on June 8, 2006. The provider is also known as Kathleen M Otoole.

Where is Kathleen Otoole located?

Kathleen Otoole practices at 1001 Johnson Ferry Rd NE, Atlanta, GA 30342. The listed phone number is (404) 250-2849.

What is Kathleen Otoole's specialty?

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

Is Kathleen Otoole enrolled in Medicare?

Yes. Kathleen Otoole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Otoole was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.