Active NPI
Eric Watsky, MD
- Psychiatry Physician
- Niantic, CT
National Provider Identifier
1205179231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 035790
- Practice address
- 52 Attawan Rd
Niantic, CT 06357-3632 - Phone
- (860) 739-8398
- NPI assigned
- Mar 27, 2013
- Last updated
- Mar 27, 2013
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 035790 | CT | Primary |
Addresses
Primary practice location
52 Attawan Rd
Niantic, CT 06357-3632
Mailing address
52 Attawan Rd
Niantic, CT 06357-3632
Phone (860) 739-8398
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035790 | CT | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1205179231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 ATTAWAN RD",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063573632",
"telephone_number": "860-739-8398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 ATTAWAN RD",
"city": "NIANTIC",
"state": "CT",
"postal_code": "063573632",
"telephone_number": "860-739-8398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSKY",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "035790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.