JAMES H WATERS (PH.D.) – Clinical Neuropsychologist, NPI 1417042516

JAMES H WATERS (PH.D.) is a healthcare provider. based in Fort collins, Colorado. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 605 (CO). The NPI Number for JAMES H WATERS (PH.D.) is 1417042516

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
JAMES H WATERS (PH.D.)
NPI
1417042516
Phone
(303) 444-3443
Address
P O BOX 2086
Enumeration Date
4 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034441630
Graduation Year
1976 (50 years ago)
PAC ID
2264756204
Professional Enrollment ID
I20150121001532
Address ID
CO803025753BO2501XSTXX309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

747 CLINICAL PSYCHOLOGIST in CO

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Provider Addresses for JAMES H WATERS (PH.D.)

  • P O BOX 2086

    FORT COLLINS, CO 805222086

    Phone: (303) 444-3443

    Fax: (970) 221-3730

    Type: Mailing

  • 2501, Walnut Street, Goss-Grove, Boulder, Boulder County, Colorado, 80302, United States

    SUITE 212

    BOULDER, CO 80302

    Phone: (303) 444-1630

    Fax: (970) 221-3730

    Type: Location

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: 2015-01-21

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
I20150121001532IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80522)

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Reviews

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Frequently asked questions

How do payers reference JAMES H WATERS (PH.D.)?
For JAMES H WATERS (PH.D.), use NPI 1417042516 as the unique 10-digit identifier.
Active or inactive — what applies to JAMES H WATERS (PH.D.)?
You should see JAMES H WATERS (PH.D.) as active in CMS-hosted NPPES data.
What area of care is associated with JAMES H WATERS (PH.D.)?
JAMES H WATERS (PH.D.)'s record emphasizes Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where in Colorado is JAMES H WATERS (PH.D.) registered?
Use Fort Collins, Colorado as the headline location for JAMES H WATERS (PH.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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