Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN H OTZENBERGER PSY.D.
NPI 1114980307
Psychologist - Clinical in Charlotte, NC

Q: What is John Otzenberger's NPI number?

The NPI number for John Otzenberger is 1114980307. It was assigned to this individual provider in the NPPES registry on April 9, 2006.

Q: What is John Otzenberger's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for John Otzenberger was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.

Active since April 09, 2006

10508 PARK RD, SUITE 130, CHARLOTTE, NC 28210(704) 541-9080 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John H Otzenberger Psy.d. NPPES

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

DR. JOHN H OTZENBERGER PSY.D. (NPI 1114980307) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (3099) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1114980307

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN H OTZENBERGERCredential: PSY.D.

Location Address10508 PARK RD, SUITE 130Charlotte, NC 28210-8405

Mailing Address5100 Lansing DrCharlotte, NC 28270-6030 · (704) 719-3974

Phone(704) 541-9080

Sole ProprietorNo

Enumeration DateApril 9, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1114980307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 3099

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

10508 PARK RD, Charlotte, NC 28210

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Other Providers at the Same Location NPPES 9

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

NEUROLOGY WELLNESS, PLLC

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

10508 PARK RD, STE 130
CHARLOTTE, NC 28210

Mecklenburg County (704) 541-9117

SUZANNE CARNEY CPNP

Nurse Practitioner

10508 PARK RD, SUITE 100
CHARLOTTE, NC 28210

Mecklenburg County (704) 384-1440

NADYA A KLINETOB PHD

Psychologist (Clinical)

10508 PARK RD, SUITE 130
CHARLOTTE, NC 28210

Mecklenburg County (704) 541-9080

MRS. GRACE SLACK OTR

Occupational Therapist (Pediatrics)

10508 PARK RD, SUITE 130
CHARLOTTE, NC 28210

Mecklenburg County (704) 541-9080

SHEILA NATARAJAN M.D.

Physical Medicine & Rehabilitation

10508 PARK RD, STE 130
CHARLOTTE, NC 28210

Mecklenburg County (704) 557-0500

MRS. CAITLIN MOORE SUND MHS OTRL

Occupational Therapist (Pediatrics)

10508 PARK RD, SUITE 130
CHARLOTTE, NC 28210

Mecklenburg County (704) 541-9080

MRS. MICHELLE LEIGH TAYLOR OTR/L

Occupational Therapist

10508 PARK RD, SUITE #130
CHARLOTTE, NC 28210

Mecklenburg County (704) 332-4834

DR. WILLIAM COMISKY M.D.

Pediatrics

10508 PARK RD, SUITE 100
CHARLOTTE, NC 28210

Mecklenburg County (704) 384-1440

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 John Otzenberger's NPI number?

The NPI number for John Otzenberger is 1114980307. It was assigned to this individual provider in the NPPES registry on April 9, 2006.

Where is John Otzenberger located?

John Otzenberger practices at 10508 Park Rd Suite 130, Charlotte, NC 28210. The listed phone number is (704) 541-9080.

What is John Otzenberger's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for John Otzenberger was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.