Individual provider Active NPI

Raymond George Watson

  • Peer Specialist
  • Gardner, MA
National Provider Identifier
1376188573
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
287 Central St
Gardner, MA 01440-8311
Phone
(978) 632-0934
Fax
(888) 607-9327
NPI assigned
Nov 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MA Primary

Addresses

Primary practice location

287 Central St
Gardner, MA 01440-8311

Mailing address

208 Coleman St
Gardner, MA 01440-3767
Phone (978) 632-0934

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwatson@gaamha.org

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gaamha, Inc Peer Specialist CurrentSince Mar 31, 2024 Accepting new patients
Gaamha, Inc PastSince Nov 17, 2019 Accepting new patients

Locations

208 Coleman St
Gardner, MA 01440
Phone (978) 632-0934

Organizations & group practices 2

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": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1376188573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 COLEMAN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403767",
            "telephone_number": "978-632-0934",
            "fax_number": "888-607-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 CENTRAL ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014408311",
            "telephone_number": "978-632-0934",
            "fax_number": "888-607-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RAYMOND",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwatson@gaamha.org",
            "affiliation": "N",
            "address_1": "287 Central St",
            "city": "Gardner",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014408311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.