Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIFFANY LYNNE OTERO PH.D., BCBA
NPI 1780988212
Psychologist in Albuquerque, NM

Active since December 23, 2010PECOS Enrolled
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107(505) 272-3000 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2024, Jul 11, 2023, Oct 5, 2022 and 1 more (4 updates tracked since 2021).

About Tiffany Lynne Otero Ph.d., Bcba NPPES

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

TIFFANY LYNNE OTERO PH.D., BCBA (NPI 1780988212) is an individual psychologist in Albuquerque, New Mexico, licensed in New Mexico (PSY1584) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Lunas.

NPPES Registry Identity

NPI1780988212
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameTIFFANY LYNNE OTEROCredential: PH.D., BCBA
Location Address2300 MENAUL BLVD NEAlbuquerque, NM 87107-1851
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorYes
Enumeration DateDecember 23, 2010
Last NPPES UpdateJune 26, 20264 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
NPI 1780988212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NM · PSY1584
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY1584 (NM)
2300 MENAUL BLVD NE, Albuquerque, NM 87107

Secondary Practice Location 1

Location 11151 Crestview Dr SWLos Lunas, NM 87031-8692 · Phone (505) 389-3454

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tiffany Lynne Otero Ph.d., Bcba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Psychologist
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Pediatrics (Developmental - Behavioral Pediatrics)
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Speech-Language Pathologist
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Behavior Analyst
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Counselor (Mental Health)
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Speech-Language Pathologist
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Nurse Practitioner (Family)
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Psychologist
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107

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 Tiffany Otero's NPI number?

The NPI number for Tiffany Otero is 1780988212. It was assigned to this individual provider in the NPPES registry on December 23, 2010.

Where is Tiffany Otero located?

Tiffany Otero practices at 2300 Menaul Blvd NE, Albuquerque, NM 87107. The listed phone number is (505) 272-3000.

What is Tiffany Otero's specialty?

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

Is Tiffany Otero enrolled in Medicare?

Yes. Tiffany Otero is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Otero was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.