Jennifer McWaters, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26521 Issued in CA

Practice address

1191 E Iron Eagle Dr Ste 100
Eagle, ID 83616-5139

Phone

(208) 314-8655

NPI assigned

Jun 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Stumpf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 26, 2022 through Apr 26, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Well Rooted Integrative Therapy PLLC

  • Clinical Psychologist
  • Eagle, ID
  • NPI 1750243002
  NPD Authorized official
• Rochelle Perper, Psychology PC

  dba Therapy Changes

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1447696836
  NPD (past)

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

{
    "created_epoch": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1871943019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 E AMITY AVE STE 105",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836871194",
            "telephone_number": "208-314-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E IRON EAGLE DR STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165139",
            "telephone_number": "208-314-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWATERS",
        "first_name": "JENNIFER",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-19",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "9971961",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "STUMPF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Michelle McDermott, M.D.
• James Donald McGregor, MD
• Alan Wallace McInnes Jr., M.D.
• Kylee A McManus
• Kathryn L McMullan, M.D.
• Mederx, LLC
• Medical Fitness Center LLC
• Mednow Inc (MedNow Eagle Pharmacy)
• Megan Meduna, MSPT
• Bethany Joy Mello, NP-C

• Clinical Psychologist in Eagle, ID
• Providers in Eagle, ID by specialty
• Clinical Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.