JAMES M OTTESEN PHD INC
NPI 1720186307
Psychologist - Clinical in St. George, UT

Q: What is James M Ottesen Phd Inc's NPI number?

The NPI number for James M Ottesen Phd Inc is 1720186307. It was assigned to this organization in the NPPES registry on September 20, 2006.

Q: What is James M Ottesen Phd Inc's specialty?

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

Active since September 20, 2006

640 EAST 700 SOUTH, SUITE 207, ST. GEORGE, UT 84770(435) 652-0322(435) 652-0350 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About James M Ottesen Phd Inc NPPES

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

JAMES M OTTESEN PHD INC (NPI 1720186307) is a healthcare organization registered as a clinical in St. George, Utah and active in the NPI registry since September 2006. The organization lists James M Ottesen, President, as its authorized official.

NPPES Registry Identity

NPI1720186307

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJAMES M OTTESEN PHD INC

Location Address640 EAST 700 SOUTH, SUITE 207St. George, UT 84770-5293

Mailing Address640 East 700 South, Suite 207St. George, UT 84770-5293 · (435) 652-0322 · Fax (435) 652-0350

Phone(435) 652-0322

Fax(435) 652-0350

Organization SubpartNo

Authorized OfficialJames M OttesenPresident · (435) 652-0322

Enumeration DateSeptember 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1720186307 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 UT · 325458-2501

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.

640 EAST 700 SOUTH, St. George, UT 84770

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James M Ottesen Phd Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to James M Ottesen Phd Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Ottesen, PH.D.

Clinical Psychologist

NPI 1831102490

640 E 700 S SUITE 207
St George, UT 84770

(435) 652-0322

✔ PECOS✔ Accepts Medicare6.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 James M Ottesen Phd Inc's NPI number?

The NPI number for James M Ottesen Phd Inc is 1720186307. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is James M Ottesen Phd Inc located?

James M Ottesen Phd Inc is located at 640 East 700 South Suite 207, St. George, UT 84770. The listed phone number is (435) 652-0322.

What is James M Ottesen Phd Inc's specialty?

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

Is James M Ottesen Phd Inc enrolled in Medicare?

Yes. James M Ottesen Phd Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through James M Ottesen Phd Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to James M Ottesen Phd Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for James M Ottesen Phd Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.