Active NPI
Fatima A Watt, PSY.D., MPA
- Clinical Child & Adolescent Psychologist
- Canton, MA
National Provider Identifier
1194032425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 9589
- Practice address
- 45 Dan Rd Ste 125
Canton, MA 02021-2852 - Phone
- (508) 261-4675
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- 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 Child & Adolescent Psychologist | 103TC2200X | 9589 | MA | Primary |
Addresses
Primary practice location
45 Dan Rd Ste 125
Canton, MA 02021-2852
Mailing address
16 Newton St
Mansfield, MA 02048-1912
Phone (508) 261-4675
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9589 | MA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1194032425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 NEWTON ST",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481912",
"telephone_number": "508-261-4675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 DAN RD STE 125",
"city": "CANTON",
"state": "MA",
"postal_code": "020212852",
"telephone_number": "508-261-4675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATT",
"first_name": "FATIMA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D., MPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "9589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.