Active NPI
Patricia L. Watson, PH.D.
- Clinical Psychologist
- Prescott, AZ
National Provider Identifier
1336357953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4314
- Practice address
- 948 Rough Diamond Dr
Prescott, AZ 86301-6832 - Phone
- (248) 347-4385
- Fax
- (928) 237-5679
- NPI assigned
- May 18, 2007
- Last updated
- Apr 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4314 | AZ | Primary |
| Clinical Psychologist | 103TC0700X | 6301002254 | MI |
Addresses
Primary practice location
948 Rough Diamond Dr
Prescott, AZ 86301-6832
Mailing address
948 Rough Diamond Dr
Prescott, AZ 86301-6832
Phone (248) 347-4385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130201000399 | AZ | Practitioner - Clinical Psychologist | 1355599788 | Practice locations: Prescott, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
948 Rough Diamond Dr
Prescott, AZ 86301-6832
Phone (248) 347-4385
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4314 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1336357953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "948 ROUGH DIAMOND DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863016832",
"telephone_number": "248-347-4385",
"fax_number": "928-237-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "948 ROUGH DIAMOND DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863016832",
"telephone_number": "248-347-4385",
"fax_number": "928-237-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "PATRICIA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4314",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301002254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
- Erin R Warne, PT
- Trista Faith Wasil, LMT
- Daniel Barack Wasserman, PH.D.
- Watson Woods Healthcare, Inc. (Granite Creek Health and Rehabilitation Center)
- Watson Woods Healthcare, Inc. (Granite Creek Health and Rehabilitation Center)
- Wayne a Bennett (Bennett Chiropracitc Clinic)
- Bruce A. Weary, DC
- Kristine A Weaver-Miller, PA
- Morgan Weaver, PA-C
- Christine Elaine Webb, MSN APRN FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.