WALTER (RUSTY) WALLACE OTTO PHD
NPI 1649682469
Psychologist in Sacramento, CA

Active since May 28, 2014
1970 UNIVERSITY PARK DRIVE, SACRAMENTO, CA 95825(916) 804-5087 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walter (rusty) Wallace Otto Phd NPPES

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

WALTER (RUSTY) WALLACE OTTO PHD (NPI 1649682469) is an individual psychologist in Sacramento, California, licensed in California (PSY12396) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1649682469
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameWALTER (RUSTY) WALLACE OTTOCredential: PHD
Location Address1970 UNIVERSITY PARK DRIVESacramento, CA 95825
Mailing Address1970 University Park DriveSacramento, CA 95825 · (916) 804-5087
Sole ProprietorYes
Enumeration DateMay 28, 2014
NPI 1649682469 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 · PSY12396
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.
1970 UNIVERSITY PARK DRIVE, Sacramento, CA 95825

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 Walter (rusty) Otto's NPI number?

The NPI number for Walter (rusty) Otto is 1649682469. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Walter (rusty) Otto located?

Walter (rusty) Otto practices at 1970 University Park Drive, Sacramento, CA 95825. The listed phone number is (916) 804-5087.

What is Walter (rusty) 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 Walter (rusty) Otto was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.