Active NPI
Daniel Loyd Watson, PH. D.
- Psychologist
- Palm Desert, CA
National Provider Identifier
1134234289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY13059
- Practice address
- 73567 Fred Waring Dr
Palm Desert, CA 92260-2573 - Phone
- (760) 837-1188
- Fax
- (760) 340-1913
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY13059 | CA | Primary |
Addresses
Primary practice location
73567 Fred Waring Dr
Palm Desert, CA 92260-2573
Mailing address
73567 Fred Waring Dr
Palm Desert, CA 92260-2573
Phone (760) 837-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY130590 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130524000405 | CA | Practitioner - Psychologist Billing Independently | 2062676208 | Practice locations: Palm Desert, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
73567 Fred Waring Dr
Palm Desert, CA 92260-2573
Phone (760) 837-1188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1134234289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73567 FRED WARING DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602573",
"telephone_number": "760-837-1188",
"fax_number": "760-340-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73567 FRED WARING DR",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922602573",
"telephone_number": "760-837-1188",
"fax_number": "760-340-1913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DANIEL",
"middle_name": "LOYD",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY13059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY130590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
- Joan Leigh Warren, M.D.
- Peter Sol Warshawsky, D.D.S.
- Terra Washington, LVN
- Watermark Carlotta, LLC (The Springs at the Carlotta)
- Watermark Carlotta, LLC (The Fountains at the Carlotta)
- Kailee K Watson, O.D.
- Lawrence Charles Watson, OD
- Ben Stuart Wehrli, DPM
- Jessica Weigand, M.S., CCC-SLP
- Weissman & Stone Med GRP, Inc., a Professinal Corporation (Healthpoint)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.