DR. JAMES MCBRIDE OTTESEN (PH.D.) – Clinical Psychologist, NPI 1831102490

DR. JAMES MCBRIDE OTTESEN (PH.D.) is a healthcare provider. based in St george, Utah. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 96-325458-2501 (UT). The NPI Number for DR. JAMES MCBRIDE OTTESEN (PH.D.) is 1831102490

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES MCBRIDE OTTESEN (PH.D.)
NPI
1831102490
Phone
(435) 652-0322
Address
640 E 700 S
Enumeration Date
14 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356520322
Graduation Year
1995 (31 years ago)
PAC ID
8729086681
Professional Enrollment ID
I20061201000325
Address ID
UT847705732ST640XX700X304
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

235 CLINICAL PSYCHOLOGIST in UT

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Provider Addresses for DR. JAMES MCBRIDE OTTESEN (PH.D.)

  • 640, East 700 South, St. George, Washington County, Utah, 84770, United States

    SUITE 207

    ST GEORGE, UT 847704023

    Phone: (435) 652-0322

    Fax: (435) 652-0350

    Mailing address matches the actual address.

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: 2006-12-01

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
I20061201000325IClinical PsychologistUTTBD

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

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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 84770)

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Reviews

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Frequently asked questions

How do payers reference DR. JAMES MCBRIDE OTTESEN (PH.D.)?
For DR. JAMES MCBRIDE OTTESEN (PH.D.), use NPI 1831102490 as the unique 10-digit identifier.
Is there an active status for DR. JAMES MCBRIDE OTTESEN (PH.D.)?
For scheduling context, DR. JAMES MCBRIDE OTTESEN (PH.D.) is shown as active in the registry.
What area of care is associated with DR. JAMES MCBRIDE OTTESEN (PH.D.)?
DR. JAMES MCBRIDE OTTESEN (PH.D.)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JAMES MCBRIDE OTTESEN (PH.D.)?
Directory geography for DR. JAMES MCBRIDE OTTESEN (PH.D.) centers on St George, Utah.
Does DR. JAMES MCBRIDE OTTESEN (PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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