Active NPI
Robert E Watson MD PS
- Mental Health Counselor
- Everson, WA
National Provider Identifier
1205968682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027408 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI 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.