Individual provider Active NPI

Terri Watson, PSYD

  • Clinical Psychologist
  • Hoffman Estates, IL
National Provider Identifier
1407467475
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.004732 Issued in IL
Practice address
3100 W Higgins Rd Ste 195
Hoffman Estates, IL 60169-7253
Phone
(847) 275-7106
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.004732 IL Primary

Addresses

Primary practice location

3100 W Higgins Rd Ste 195
Hoffman Estates, IL 60169-7253

Mailing address

3100 W Higgins Rd Ste 195
Hoffman Estates, IL 60169-7253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20221011000406 IL Practitioner - Clinical Psychologist 8325424682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3100 W Higgins Rd
Suite 195
Hoffman Estates, IL 60169-7253
Phone (847) 275-7106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071.004732ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Terri S. Watson, Psy.D., L.L.C. CurrentSince Aug 12, 2022 Accepting new patients

Locations

3100 W Higgins Rd
Ste 195
Hoffman Estates, IL 60169
Phone (847) 275-7106

Organizations & group practices 1

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1407467475",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W HIGGINS RD STE 195",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601697253",
            "telephone_number": "847-275-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TERRI",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.004732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.