DR. THEODORE OTVOS PH.D.
NPI 1609963933
Psychologist in Long Beach, CA

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
4201 LONG BEACH BLVD, STE.230, LONG BEACH, CA 90807(562) 988-1000(562) 426-5211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Theodore Otvos Ph.d. NPPES

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

DR. THEODORE OTVOS PH.D. (NPI 1609963933) is an individual psychologist in Long Beach, California, licensed in California (PSY17939) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1609963933
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. THEODORE OTVOSCredential: PH.D.
Location Address4201 LONG BEACH BLVD, STE.230Long Beach, CA 90807-2007
Mailing Address4201 Long Beach Blvd, Ste.230Long Beach, CA 90807-2007 · (562) 988-1000 · Fax (562) 426-5211
Fax(562) 426-5211
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1609963933 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 · PSY17939
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.
4201 LONG BEACH BLVD, Long Beach, CA 90807

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore Otvos Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709827611
PECOS Enrollment IDI20050519001106
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 18

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

Psychologist (Cognitive & Behavioral)
4201 LONG BEACH BLVD
LONG BEACH, CA 90807
Clinic/Center (Magnetic Resonance Imaging (MRI))
4201 LONG BEACH BLVD, 400
LONG BEACH, CA 90807
Psychologist
4201 LONG BEACH BLVD, 230
LONG BEACH, CA 90807
Psychiatry & Neurology (Psychiatry)
4201 LONG BEACH BLVD, STE 203
LONG BEACH, CA 90807
Psychologist (Clinical)
4201 LONG BEACH BLVD, SUITE 230
LONG BEACH, CA 90807
Psychologist (Clinical)
4201 LONG BEACH BLVD, SUITE 230
LONG BEACH, CA 90807
Nurse Practitioner
4201 LONG BEACH BLVD
LONG BEACH, CA 90807
Psychologist
4201 LONG BEACH BLVD, 230
LONG BEACH, CA 90807

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 Theodore Otvos's NPI number?

The NPI number for Theodore Otvos is 1609963933. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Theodore Otvos located?

Theodore Otvos practices at 4201 Long Beach Blvd Ste.230, Long Beach, CA 90807. The listed phone number is (562) 988-1000.

What is Theodore Otvos's specialty?

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

Is Theodore Otvos enrolled in Medicare?

Yes. Theodore Otvos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Theodore Otvos was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.