Dr. Mark W. Otten , PhD
Psychologist • Davis, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Otten has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Otten, PhD was a registered Psychologist practicing in Davis, CA. Throughout an active medical career spanning 13 years, Dr. Otten provided care at the practice location at 1260 LAKE BLVD until profile deactivation on 2019-02-11.
Practice Location & Contact Primary Location
1260 Lake Blvd
Suite 202
Davis, CA 956162614
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist in Davis, CA
Practicing in Davis, CA (7695 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103T00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Marriage & Family Therapist
Marriage and Family Therapist
Psychologist - School
Marriage & Family Therapist
Marriage and Family Therapist
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Psychologist - Clinical
Doctor of Psychology (Psy.D.)
Psychologist
Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 11, 2019
NPI status registered as active in NPPES database
Registered at 1260 LAKE BLVD, SUITE 202, DAVIS, CA 956162614 (Tel: 5307583052)
Registered at 1310 GARRISON ST, DAVIS, CA 956162946 (Tel: 5307583052)
Recorded as MARK OTTEN, PH.D.
Psychologist (License #PSY 4037 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1310 Garrison St
Davis, CA 956162946
Phone: 5307583052
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