Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Theodore Otvos, PHD

Individual provider Psychologist · NPI 1609963933

Dr. Theodore Otvos, PHD is a Clinical Psychologist in Long Beach, California. Qualified in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4201 Long Beach Blvd STE.230
Long Beach, CA 90807-2007
Phone: (562) 988-1000
Fax: (562) 426-5211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY17939 (CA)

Record details

NPI number1609963933
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address4201 Long Beach Blvd, Ste.230, Long Beach, CA 90807-2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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