James M Ottesen PHD Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

325458-2501 Issued in UT

Legal business name

JAMES M OTTESEN PHD INC

Practice address

640 East 700 South
Suite 207
St. George, UT 84770-5293

Phone

(435) 652-0322

Fax

(435) 652-0350

NPI assigned

Sep 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James M Ottesen, PH.D.NPI 1831102490

Title

President

Phone

(435) 652-0322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James McBride Ottesen, PH.D.

  • Clinical Psychologist
  • St George, UT
  • NPI 1831102490
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720186307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 EAST 700 SOUTH",
            "address_2": "SUITE 207",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847705293",
            "telephone_number": "435-652-0322",
            "fax_number": "435-652-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 EAST 700 SOUTH",
            "address_2": "SUITE 207",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "847705293",
            "telephone_number": "435-652-0322",
            "fax_number": "435-652-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M OTTESEN PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTTESEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-652-0322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "325458-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weston Jacobson, ATC, MAT
• Charlie R Jacques, APRN
• Zachary Scott Jager, MD
• Justus Jagodzinske
• James G Millward PC
• James N Ence DDS LTD
• Jeri Rose James, CSW
• Kay James
• Matthew James
• Patty Sue James II

• Clinical Psychologist in St. George, UT
• Providers in St. George, UT by specialty
• Clinical Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.