Kia Watkins, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY005494 Issued in AZ

Practice address

2633 E Indian School Rd Ste 360
Phoenix, AZ 85016-6777

Phone

(937) 831-4642

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Pacific Coast Psychiatric Associates Inc

  dba Lifestance Health

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1023125465
  Medicare reassignment Care Compare group NPD
• Desert Sage Health PLLC

  dba West Valley Family Development Center

  • Psychologist
  • Goodyear, AZ
  • NPI 1891201521

  Multi-Specialty

  Medicare reassignment NPD
• Sentience Psycological Services PLLC

  • Psychologist
  • Phoenix, AZ
  • NPI 1487999371

  Multi-Specialty

  NPD (past)
• Sentience, PLLC

  • Counseling Psychologist
  • Phoenix, AZ
  • NPI 1144730086
  NPD (past)
• Psychology Specialists LTD

  dba LifeStance Health

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1003473448
  NPD (past)

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1346991700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 E INDIAN SCHOOL RD STE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166777",
            "telephone_number": "937-831-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 E INDIAN SCHOOL RD STE 360",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166777",
            "telephone_number": "937-831-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "KIA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY005494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branden Elaine Watkins
• Brennan Montgomery Watkins, MD
• Carol D Watkins, DO
• Daniel Watkins, AUD
• Dorothy T Watkins, LCSW
• Kimberly Anne Watkins, LPC
• Lynn Watkins, RN
• Marley Wayne Watkins, PH.D.
• Olivia Raveen Watkins, ND
• Ronald H. Watkins, DDS

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.

Verify at the official NPI Registry.