DR. JAMES K CHILDERSTON (PH.D.) – Clinical Psychologist, NPI 1205833449

DR. JAMES K CHILDERSTON (PH.D.) is a healthcare provider. based in Loveland, Colorado. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 02307 (MD). The NPI Number for DR. JAMES K CHILDERSTON (PH.D.) is 1205833449

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES K CHILDERSTON (PH.D.)
NPI
1205833449
Phone
(301) 991-1018
Address
2641 TAFT AVE STE 203
Enumeration Date
1 July 2005
Last Update Date
5 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3019911018
Graduation Year
1985 (41 years ago)
PAC ID
8426237553
Professional Enrollment ID
I20240308000759
Address ID
CO805383121LO2641XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

747 CLINICAL PSYCHOLOGIST in CO

Provider Addresses for DR. JAMES K CHILDERSTON (PH.D.)

  • 2641 TAFT AVE STE 203

    LOVELAND, CO 805383121

    Phone: (301) 991-1018

    Type: Location

  • 1910 SUNSHINE PEAK DR

    LOVELAND, CO 805387217

    Phone: (301) 991-1018

    Type: Mailing

  • 1146, Opal Court, Hagerstown, Washington County, Maryland, 21740, United States

    HAGERSTOWN, MD 217405940

    Phone: (301) 797-2110

    Fax: (301) 797-2379

    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: 2024-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110121000518IClinical PsychologistMDTBD
I20240308000759IClinical PsychologistCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour37631$0
View full utilization report →

Insurance plans in this area (ZIP 80538)

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Reviews

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Frequently asked questions

How is DR. JAMES K CHILDERSTON (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JAMES K CHILDERSTON (PH.D.) with NPI 1205833449.
Can I rely on DR. JAMES K CHILDERSTON (PH.D.) being an active provider?
As of the registry snapshot, DR. JAMES K CHILDERSTON (PH.D.) is marked active.
What taxonomy line describes DR. JAMES K CHILDERSTON (PH.D.)?
For research purposes, treat DR. JAMES K CHILDERSTON (PH.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JAMES K CHILDERSTON (PH.D.) list a practice location?
Patients near Loveland, Colorado may find DR. JAMES K CHILDERSTON (PH.D.) in results; validate coverage separately.
Is the information about DR. JAMES K CHILDERSTON (PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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