Well Rooted Integrative Therapy PLLC
NPI 1750243002ActiveOrganization· Psychologist, Clinical· Eagle, ID
Psychologist, Clinical in Eagle, Idaho, registered in NPPES in November 2025. The authorized official on file is Jennifer McWaters, PSY.D., Owner.
Overview
| NPI | 1750243002 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 25, 2025 |
| Last updated in NPPES | Nov 25, 2025 |
| Certified by provider | Nov 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other clinical psychologists in Eagle
- 1265211023
- 1679723282
- 1366953788
- 1588909931
- 1285947200
- 1871943019
- 1578321634