Maryanne Watson PHD PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

23658 Issued in TX

Legal business name

MARYANNE WATSON PHD PC

Practice address

5172 Village Creek Dr
Ste 101
Plano, TX 75093-4445

Phone

(972) 380-8600

Fax

(972) 380-2006

NPI assigned

Jun 2, 2011

Organization subpart

No

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

Authorized official

Name

Maryanne Watson, PHDNPI 1538194857

Title

Owner

Phone

(214) 620-4001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Maryanne Watson, PHD

  • Psychologist
  • Plano, TX
  • NPI 1538194857
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1396039715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5172 VILLAGE CREEK DR",
            "address_2": "STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934445",
            "telephone_number": "214-308-1407",
            "fax_number": "972-380-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5172 VILLAGE CREEK DR",
            "address_2": "STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934445",
            "telephone_number": "972-380-8600",
            "fax_number": "972-380-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYANNE WATSON PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARYANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-620-4001",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Plano, TX
• Providers in Plano, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.