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DR. JOHN DONALD OTIS JR. PHD
NPI 1659476125
Psychologist - Clinical in Chestnut Hill, MA

Active since September 13, 2006Opted out of Medicare · through Jan 1, 2028
64 HIGH ROCK TER, CHESTNUT HILL, MA 02467(617) 233-2625 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Donald Otis Jr. Phd NPPES

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

DR. JOHN DONALD OTIS JR. PHD (NPI 1659476125) is an individual clinical provider in Chestnut Hill, Massachusetts, licensed in Massachusetts (8507) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659476125
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHN DONALD OTIS JR.Credential: PHD
Location Address64 HIGH ROCK TERChestnut Hill, MA 02467-2654
Mailing Address64 High Rock TerChestnut Hill, MA 02467-2654
Phone(617) 233-2625
Sole ProprietorYes
Enumeration DateSeptember 13, 2006
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1659476125 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 MA · 8507
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.
64 HIGH ROCK TER, Chestnut Hill, MA 02467
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Donald Otis Jr. Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Otis's NPI number?

The NPI number for John Otis is 1659476125. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is John Otis located?

John Otis practices at 64 High Rock Ter, Chestnut Hill, MA 02467. The listed phone number is (617) 233-2625.

What is John Otis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is John Otis enrolled in Medicare?

No. John Otis has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Otis was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.