RANDALL LEE OTTO (PHD) – Psychologist, NPI 1629174784

RANDALL LEE OTTO (PHD) is a healthcare provider. based in Braintree, Massachusetts. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. 6165 (MA). The NPI Number for RANDALL LEE OTTO (PHD) is 1629174784

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL LEE OTTO (PHD)
NPI
1629174784
Phone
(781) 348-3904
Address
250 POND ST
Enumeration Date
16 September 2006
Last Update Date
14 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813483904
Graduation Year
1987 (39 years ago)
PAC ID
3971523283
Professional Enrollment ID
I20051201000595
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for RANDALL LEE OTTO (PHD)

  • Encompass Health Rehabilitation Hospital of Braintree, 250, Pond Street, Braintree, Norfolk County, Massachusetts, 02184, United States

    BRAINTREE, MA 021845351

    Phone: (781) 348-3904

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 02184)

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Provider's Procedures

RANDALL LEE OTTO (PHD) performs procedures in Psychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALMA96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour40385

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Frequently asked questions

What is the 10-digit NPI for RANDALL LEE OTTO (PHD)?
RANDALL LEE OTTO (PHD) — NPI 1629174784 — is the standard way to identify this listing.
Does CMS list RANDALL LEE OTTO (PHD) as active?
Yes — RANDALL LEE OTTO (PHD) is active in the NPI listing used on this page.
What is RANDALL LEE OTTO (PHD) best known for clinically?
Directory data describes RANDALL LEE OTTO (PHD) with Psychologist. Clinical services aligned with this taxonomy classification.
Where is RANDALL LEE OTTO (PHD) based?
RANDALL LEE OTTO (PHD) is tied to Braintree, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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