Organization Active NPI

Robert E Watson MD PS

  • Mental Health Counselor
  • Everson, WA
National Provider Identifier
1205968682
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ROBERT E WATSON MD PS
Practice address
6715 Lunde Rd
Everson, WA 98247-9635
Phone
(360) 398-8287
Fax
(360) 398-7809
NPI assigned
Mar 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert E Watson, M.D.
Title
President
Phone
(360) 398-8287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6715 Lunde Rd
Everson, WA 98247-9635

Mailing address

PO Box 3191
Bellingham, WA 98227-3191
Phone (360) 398-8287

Other identifiers 1

IdentifierTypeStateIssuer
1027408MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1205968682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3191",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982273191",
            "telephone_number": "360-398-8287",
            "fax_number": "360-398-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 LUNDE RD",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "982479635",
            "telephone_number": "360-398-8287",
            "fax_number": "360-398-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E WATSON MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-398-8287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027408",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everson, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.