Terri S. Watson, Psy.D., L.L.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071004732 Issued in IL

Legal business name

TERRI S. WATSON, PSY.D., L.L.C.

Practice address

3100 W Higgins Rd
Suite 195
Hoffman Estates, IL 60195-5251

Phone

(847) 275-7106

Fax

(847) 310-8600

NPI assigned

Jan 20, 2007

Organization subpart

No

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

Authorized official

Name

Terri Watson, PSYDNPI 1407467475

Title

Owner

Phone

(847) 275-7106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terri Watson, PSYD

  • Clinical Psychologist
  • Hoffman Estates, IL
  • NPI 1407467475
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1376696401",
    "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": "847-275-7106",
            "fax_number": "630-538-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W HIGGINS RD",
            "address_2": "SUITE 195",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601955251",
            "telephone_number": "847-275-7106",
            "fax_number": "847-310-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRI S. WATSON, PSY.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-275-7106",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071004732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Hoffman Estates, IL
• Providers in Hoffman Estates, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.