Individual provider Active NPI

Antonia Lisa Guerra-Watson, PHD

  • Health Service Psychologist
  • Grapevine, TX
National Provider Identifier
1326110362
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
31889 Issued in TX
Practice address
2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010
Phone
(817) 416-1235
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 31889 TX
Health Service Psychologist 103TH0100X 31889 TX Primary

Addresses

Primary practice location

2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010

Mailing address

2311 Mustang Dr Ste 200
Grapevine, TX 76051-1010
Phone (817) 416-1235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000118 TX Practitioner - Clinical Psychologist 4587856844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1701 W Northwest Hwy
Suite 100
Grapevine, TX 76051-8145
Phone (817) 416-1235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Guerra- Watson and Associates, PLLC Psychologist CurrentSince Sep 17, 2010 Accepting new patients

Locations

2311 Mustang Dr
Ste 200
Grapevine, TX 76051
Phone (817) 416-1235

1701 W Northwest Hwy
Ste 100
Grapevine, TX 76051
Phone (817) 416-1235

1785 State Highway 26
Ste 200
Grapevine, TX 76051
Phone (817) 300-4073

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1326110362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 MUSTANG DR STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511010",
            "telephone_number": "817-416-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 MUSTANG DR STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511010",
            "telephone_number": "817-416-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA-WATSON",
        "first_name": "ANTONIA",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "31889",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "31889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.