Randy Kurt Otto, PHD
NPI 1003789322ActiveIndividual· Psychologist· Albuquerque, NM
Psychologist (PHD) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in September 2025. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1003789322 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Sep 24, 2025 |
| Last updated in NPPES | Apr 2, 2026 |
| Certified by provider | Apr 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY-2025-0065 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NM) |
|---|
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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