RANDALL LEE OTTO PHD
NPI 1629174784
Psychologist in Braintree, MA

Active since September 16, 2006
250 POND ST, BRAINTREE, MA 02184(781) 348-3904(781) 848-1245 Get Directions Write a Review

NPPES record last updated: July 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Randall Lee Otto Phd NPPES

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

RANDALL LEE OTTO PHD (NPI 1629174784) is an individual psychologist in Braintree, Massachusetts, licensed in Massachusetts (6165) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1629174784
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRANDALL LEE OTTOCredential: PHD
Location Address250 POND STBraintree, MA 02184-5351
Mailing Address250 Pond StBraintree, MA 02184-5351 · (781) 348-3904
Fax(781) 848-1245
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 14, 2010
NPI 1629174784 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 MA · 6165
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.
250 POND ST, Braintree, MA 02184

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.

Internal Medicine
250 POND ST
BRAINTREE, MA 02184
Physical Medicine & Rehabilitation
250 POND ST
BRAINTREE, MA 02184
Physical Medicine & Rehabilitation
250 POND ST
BRAINTREE, MA 02184
Psychiatry & Neurology (Neurology)
250 POND ST
BRAINTREE, MA 02184
Occupational Therapist
250 POND ST
BRAINTREE, MA 02184
Pharmacist
250 POND ST
BRAINTREE, MA 02184
Speech-Language Pathologist
250 POND ST
BRAINTREE, MA 02184
Prosthetic/Orthotic Supplier
250 POND ST
BRAINTREE, MA 02184

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 Randall Otto's NPI number?

The NPI number for Randall Otto is 1629174784. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Randall Otto located?

Randall Otto practices at 250 Pond St, Braintree, MA 02184. The listed phone number is (781) 348-3904.

What is Randall Otto's specialty?

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

When was this NPI record last updated?

The NPPES record for Randall Otto was last updated on July 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.