DR. CARISSA WOTT (PH.D.) – Clinical Psychologist, NPI 1548530561

DR. CARISSA WOTT (PH.D.) is a healthcare provider. based in Sylvania, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6875 (OH). The NPI Number for DR. CARISSA WOTT (PH.D.) is 1548530561

Main info

Female
16 Years Of Experience
Name
DR. CARISSA WOTT (PH.D.)
NPI
1548530561
Phone
(419) 885-1910
Address
5600 Monroe St
Enumeration Date
6 January 2012
Last Update Date
16 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192658206
Graduation Year
2010 (16 years ago)
PAC ID
0941469852
Group Practice PAC ID
6507198199
Professional Enrollment ID
I20120313000651
Address ID
OH435515236PE1070XDRXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. CARISSA WOTT (PH.D.)

  • 5600 Monroe St

    Sylvania, OH 435602731

    Phone: (419) 885-1910

    Fax: (419) 885-5060

    Type: Location

  • 830 W SOUTH BOUNDARY ST

    PERRYSBURG, OH 435515238

    Phone: (419) 931-3020

    Fax: (419) 931-3022

    Type: Mailing

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: 2012-03-13

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
I20120313000651IClinical PsychologistOHTBD

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 43560)

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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: 6507198199View full group profile
NameSpecialtyState
Clinical PsychologistOH
Clinical PsychologistOH
Clinical Social WorkerOH
Clinical Social WorkerOH
-OH
Mental Health CounselorOH
Clinical PsychologistOH

Reviews

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Frequently asked questions

Is there an official ID for DR. CARISSA WOTT (PH.D.) in U.S. healthcare records?
The official identifier for DR. CARISSA WOTT (PH.D.) is NPI 1548530561.
Would DR. CARISSA WOTT (PH.D.) appear as active to a payer?
You can treat DR. CARISSA WOTT (PH.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. CARISSA WOTT (PH.D.)?
DR. CARISSA WOTT (PH.D.) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. CARISSA WOTT (PH.D.) associated with Sylvania?
Public fields place DR. CARISSA WOTT (PH.D.) around Sylvania, Ohio. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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