P Praxis·MD
● Active Type 1 · Individual

DR. Suzanna Jolene Waters, PHD

Psychologist·Meridian, ID· NPI 1275965881 · Enumerated 2013 · 12 years on NPI
Waters is 1 of 24 psychologist providers in Meridian and 1 of 235 in Idaho.
NPI age
12 years
Enumerated 2013-08-06
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 235 active psychologist providers in Idaho.

NPI age
12 years
↓ 5 yr below median (17 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-08Enumerated in NPPES
2013 2026

Where they practice

Practice location
2463 E Gala St Ste 100
Meridian, ID 836425210
📞 2089557333
Mailing address
3407 N Rhone Pl
Star, ID 836695797
📞 2089942607

Additional practice locations

1 secondary location on file with NPPES.

Location 2
500 W Fort St
Boise, ID 837024501
📞 2084221000

Specialties

  • Psychologist Primary
    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...
    ID license #PSY-203922 taxonomy 103TC0700X
  • Counselor
    Definition to come...
    ID license #LCPC-6424 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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