DR. JOHN MICHAEL KOTLER PH.D.
NPI 1174865141
Psychologist in Fresno, CA

Active since March 18, 2013PECOS Enrolled
6641 N MARTY AVE, FRESNO, CA 93711(559) 440-9946 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Michael Kotler Ph.d. NPPES

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

DR. JOHN MICHAEL KOTLER PH.D. (NPI 1174865141) is an individual psychologist in Fresno, California, licensed in California (PSY12668) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1174865141
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN MICHAEL KOTLERCredential: PH.D.
Location Address6641 N MARTY AVEFresno, CA 93711-0824
Mailing Address6641 N Marty AveFresno, CA 93711-0824 · (559) 440-9946
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 18, 2013
NPI 1174865141 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 CA · PSY12668
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.
6641 N MARTY AVE, Fresno, CA 93711

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John Michael Kotler Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395129837
PECOS Enrollment IDI20220831003338
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 John Kotler's NPI number?

The NPI number for John Kotler is 1174865141. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is John Kotler located?

John Kotler practices at 6641 N Marty Ave, Fresno, CA 93711. The listed phone number is (559) 440-9946.

What is John Kotler's specialty?

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

Is John Kotler enrolled in Medicare?

Yes. John Kotler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Kotler was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.