AMANDA ISABEL OTERO ALICEA (PSYD) – Mental Health Counselor, NPI 1588183115

AMANDA ISABEL OTERO ALICEA (PSYD) is a healthcare provider. based in Aurora, Colorado. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. PSY.0006830 (CO). The NPI Number for AMANDA ISABEL OTERO ALICEA (PSYD) is 1588183115

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA ISABEL OTERO ALICEA (PSYD)
NPI
1588183115
Phone
(818) 446-2522
Address
14001 E ILIFF AVE STE 400
Enumeration Date
14 September 2017
Last Update Date
1 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8184462522
Graduation Year
2023 (3 years ago)
PAC ID
2062917834
Group Practice PAC ID
7911227509
Professional Enrollment ID
I20250923003487
Address ID
CO800141427AU14001AVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

747 CLINICAL PSYCHOLOGIST in CO

Provider Addresses for AMANDA ISABEL OTERO ALICEA (PSYD)

  • 14001 E ILIFF AVE STE 400

    AURORA, CO 800141427

    Phone: (818) 446-2522

    Type: Location

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681985450

    Phone: (402) 559-6408

    Fax: (402) 559-5737

    Type: Mailing

  • South 44th Street, Omaha, Douglas County, Nebraska, 68131, United States

    OMAHA, NE 681313727

    Phone: (402) 559-6408

    Fax: (402) 559-5737

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250923003487IClinical PsychologistCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911227509View full group profile
NameSpecialtyState
Clinical PsychologistPA
Clinical PsychologistCA
Clinical PsychologistVA
Clinical PsychologistWA
Clinical PsychologistCA
Clinical PsychologistCA
Clinical PsychologistMD
Clinical PsychologistCA
Clinical PsychologistCA
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to AMANDA ISABEL OTERO ALICEA (PSYD)?
NPI 1588183115 is assigned to AMANDA ISABEL OTERO ALICEA (PSYD) under the national enumeration system.
Does this profile mean AMANDA ISABEL OTERO ALICEA (PSYD) is currently active?
Yes — AMANDA ISABEL OTERO ALICEA (PSYD) appears active in the national provider directory.
What field does AMANDA ISABEL OTERO ALICEA (PSYD) work in?
You can think of AMANDA ISABEL OTERO ALICEA (PSYD) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place AMANDA ISABEL OTERO ALICEA (PSYD)?
The snapshot lists Aurora, Colorado for AMANDA ISABEL OTERO ALICEA (PSYD); download NPPES for the complete set.
What if Aurora, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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