Active NPI
Rebecca Wendell Watters, M.D.
- Prescribing (Medical) Psychologist
- San Francisco, CA
National Provider Identifier
1265659338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- A73292
- Practice address
- 999 Sutter St
San Francisco, CA 94109-6023 - Phone
- (415) 922-9122
- Fax
- (415) 920-9925
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | A73292 | CA | Primary |
Addresses
Primary practice location
999 Sutter St
San Francisco, CA 94109-6023
Mailing address
999 Sutter St
San Francisco, CA 94109-6023
Phone (415) 922-9122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 5, 2016 through Apr 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73292 | CA | MD | Prescribing (Medical) Psychologist |
| 73292 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265659338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 SUTTER ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096023",
"telephone_number": "415-922-9122",
"fax_number": "415-920-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 SUTTER ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096023",
"telephone_number": "415-922-9122",
"fax_number": "415-920-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTERS",
"first_name": "REBECCA",
"middle_name": "WENDELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "CA",
"license": "A73292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.