Active NPI
Douglas F. Watt, PH.D.
- Clinical Neuropsychologist
- Nashua, NH
National Provider Identifier
1003816992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 4125
- Practice address
- 24 Charlotte Ave
Nashua, NH 03064-1551 - Phone
- (508) 740-0391
- Fax
- (508) 657-8605
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4125 | MA | Primary |
Addresses
Primary practice location
24 Charlotte Ave
Nashua, NH 03064-1551
Mailing address
24 Charlotte Ave
Nashua, NH 03064-1551
Phone (508) 740-0391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4125 | MA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467676800000",
"number": "1003816992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CHARLOTTE AVE",
"city": "NASHUA",
"state": "NH",
"postal_code": "030641551",
"telephone_number": "508-740-0391",
"fax_number": "508-657-8605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 CHARLOTTE AVE",
"city": "NASHUA",
"state": "NH",
"postal_code": "030641551",
"telephone_number": "508-740-0391",
"fax_number": "508-657-8605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATT",
"first_name": "DOUGLAS",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2016-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "4125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.