DR. MARK RAYMOND OTIS PHD
NPI 1477661981
Psychologist - Clinical in Dallas, TX

Q: What is Mark Otis's NPI number?

The NPI number for Mark Otis is 1477661981. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Mark Otis'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 Mark Otis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 25, 2006

2925 LBJ FREEWAY, SUITE 180, DALLAS, TX 75234(972) 241-0674 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Mark Raymond Otis Phd NPPES

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

DR. MARK RAYMOND OTIS PHD (NPI 1477661981) is an individual clinical provider in Dallas, Texas, licensed in Texas (22147) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1477661981

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARK RAYMOND OTISCredential: PHD

Location Address2925 LBJ FREEWAY, SUITE 180Dallas, TX 75234-7619

Mailing Address2925 Lbj Freeway, Suite 180Dallas, TX 75234-7619 · (972) 241-0674

Phone(972) 241-0674

Sole ProprietorNo

Enumeration DateAugust 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477661981 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 TX · 22147

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.

2925 LBJ FREEWAY, Dallas, TX 75234

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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 Mark Otis's NPI number?

The NPI number for Mark Otis is 1477661981. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Mark Otis located?

Mark Otis practices at 2925 Lbj Freeway Suite 180, Dallas, TX 75234. The listed phone number is (972) 241-0674.

What is Mark Otis'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 Mark Otis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.