DR. GLORIA JENNINGS WATERHOUSE PHD
NPI 1174702385
Psychologist - Clinical in Sandpoint, ID

Active since October 24, 2007PECOS Enrolled
100 N 1ST AVE, SANDPOINT, ID 83864(208) 263-2040 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gloria Jennings Waterhouse Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLORIA JENNINGS WATERHOUSE PHD (NPI 1174702385) is an individual clinical provider in Sandpoint, Idaho, licensed in Idaho (PSY202071) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1174702385
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GLORIA JENNINGS WATERHOUSECredential: PHD
Location Address100 N 1ST AVESandpoint, ID 83864-1376
Mailing Address100 N 1st AveSandpoint, ID 83864-1376 · (208) 263-2040
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 24, 2007
Last NPPES UpdateNovember 16, 2010
NPI 1174702385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in ID · PSY202071
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
100 N 1ST AVE, Sandpoint, ID 83864

Other Identifiers 4

Other10139177ID · Regence
OtherN5327ID · Blue Cross
Medicaid806574200ID
Medicare PIN1684555ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gloria Jennings Waterhouse Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557251808
PECOS Enrollment IDI20040318001460
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
100 N 1ST AVE
SANDPOINT, ID 83864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gloria Waterhouse's NPI number?

The NPI number for Gloria Waterhouse is 1174702385. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Gloria Waterhouse located?

Gloria Waterhouse practices at 100 N 1st Ave, Sandpoint, ID 83864. The listed phone number is (208) 263-2040.

What is Gloria Waterhouse's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gloria Waterhouse enrolled in Medicare?

Yes. Gloria Waterhouse is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gloria Waterhouse was last updated on November 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.