Active NPI
Heather S Watson, PSY.D.
- Clinical Psychologist
- Williamsville, NY
National Provider Identifier
1447665773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020568
- Practice address
- 5500 Main St
Suite 308
Williamsville, NY 14221-6755 - Phone
- (716) 634-1184
- NPI assigned
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 020568 | NY | Primary |
Addresses
Primary practice location
5500 Main St
Suite 308
Williamsville, NY 14221-6755
Mailing address
5500 Main St
Suite 308
Williamsville, NY 14221-6755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 25, 2022 through Oct 25, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477785600000",
"number": "1447665773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 MAIN ST",
"address_2": "SUITE 308",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 MAIN ST",
"address_2": "SUITE 308",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216755",
"telephone_number": "716-634-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "HEATHER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2016-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.