DR. ANN WATTERS PHD
NPI 1326161068
Psychologist in San Mateo, CA

Active since April 09, 2007Opted out of Medicare · through Apr 1, 2027
101 S SAN MATEO DR STE 303, SAN MATEO, CA 94401(650) 342-3843(650) 375-8398 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ann Watters Phd NPPES

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

DR. ANN WATTERS PHD (NPI 1326161068) is an individual psychologist in San Mateo, California, licensed in California (CA PSY 17278) and active in the NPI registry since April 2007. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326161068
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ANN WATTERSCredential: PHD
Location Address101 S SAN MATEO DR STE 303San Mateo, CA 94401-3844
Mailing Address101 S San Mateo Dr Ste 303San Mateo, CA 94401-3844 · (650) 342-3843 · Fax (650) 375-8398
Fax(650) 375-8398
Sole ProprietorYes
Enumeration DateApril 9, 2007
Last NPPES UpdateDecember 28, 2007
NPI 1326161068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · CA PSY 17278
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
101 S SAN MATEO DR STE 303, San Mateo, CA 94401

Other Identifiers 1

Medicare PINOPL172780CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Ann Watters Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

Psychologist
101 S SAN MATEO DR STE 303
SAN MATEO, CA 94401
Internal Medicine
101 S SAN MATEO DR STE 303
SAN MATEO, CA 94401
Internal Medicine
101 S SAN MATEO DR STE 303
SAN MATEO, CA 94401
Family Medicine
101 S SAN MATEO DR STE 303
SAN MATEO, CA 94401

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 Ann Watters's NPI number?

The NPI number for Ann Watters is 1326161068. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Ann Watters located?

Ann Watters practices at 101 S San Mateo Dr Ste 303, San Mateo, CA 94401. The listed phone number is (650) 342-3843.

What is Ann Watters's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Ann Watters enrolled in Medicare?

No. Ann Watters has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ann Watters was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.