Active NPI
Clarence Watson, MD
- Psychiatry Physician
- Bala Cynwyd, PA
National Provider Identifier
1265440614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD424489
- Practice address
- 2 Bala PLZ
Suite 300
Bala Cynwyd, PA 19004-1501 - Phone
- (610) 660-7820
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | MD424489 | PA | Primary |
Addresses
Primary practice location
2 Bala PLZ
Suite 300
Bala Cynwyd, PA 19004-1501
Mailing address
2 Bala PLZ
Suite 300
Bala Cynwyd, PA 19004-1501
Phone (610) 660-7820
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD424489 | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1265440614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BALA PLZ",
"address_2": "SUITE 300",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041501",
"telephone_number": "610-660-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BALA PLZ",
"address_2": "SUITE 300",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041501",
"telephone_number": "610-660-7820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CLARENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD424489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.