Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Waters, PHD

Individual provider Clinical Psychologist · NPI 1215108329

Dr. Mary Waters, PHD is a Clinical Psychologist in Tallahassee, Florida. Qualified in 1986, 40 years ago. Practices with Optum Behavioral Care of North Carolina PC, a 176-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
40
Licensed in
FL
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2509 Barrington Cir Ste 109
Tallahassee, FL 32308-6801
Phone: (850) 385-1190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY 4135 (FL)

Record details

NPI number1215108329
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 17, 2008
Last updated in NPPESMarch 17, 2008
Mailing address2509 Barrington Cir Ste 109, Tallahassee, FL 32308-6801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Optum Behavioral Care Of North Carolina Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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