Individual provider Active NPI

Robert Allen Watson, PSY.D.

  • Clinical Psychologist
  • Hoffman Estates, IL
National Provider Identifier
1326822743
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-004370 Issued in IL
Practice address
3100 W Higgins Rd Ste 195
Hoffman Estates, IL 60169-7253
Phone
(847) 275-7706
NPI assigned
Aug 24, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-004370 IL Primary
Clinical Psychologist 103TC0700X 6301017390 MI

Addresses

Primary practice location

3100 W Higgins Rd Ste 195
Hoffman Estates, IL 60169-7253

Mailing address

3100 W Higgins Rd Ste 195
Hoffman Estates, IL 60169-7253
Phone (847) 275-7706

Other practice location 1

6701 Alongside Ln
Richland, MI 49083-8633
Phone (847) 275-7706

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071-004370ILMDClinical Psychologist
6301017390MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Watson, Psy.D., L.L.C. Clinical PastSince Sep 5, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1326822743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W HIGGINS RD STE 195",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697253",
            "telephone_number": "847-275-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W HIGGINS RD STE 195",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697253",
            "telephone_number": "847-275-7706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Alongside Ln",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "MI",
            "postal_code": "490838633",
            "country_code": "US",
            "telephone_number": "847-275-7706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004370",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.