Individual provider Active NPI

Patricia Marie Watts, PH.D.

  • Psychologist
  • Marathon, FL
National Provider Identifier
1487746251
Registry record updated Jan 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 7054 Issued in FL
Practice address
5701 Overseas Hwy
Suite 17
Marathon, FL 33050-2784
Phone
(305) 923-3606
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY 7054 FL Primary

Addresses

Primary practice location

5701 Overseas Hwy
Suite 17
Marathon, FL 33050-2784

Mailing address

5701 Overseas Hwy
Suite 17
Marathon, FL 33050-2784
Phone (305) 923-3606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050428000122 FL Practitioner - Clinical Psychologist 2264471358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5701 Overseas Hwy
Suite 12
Marathon, FL 33050-2784
Phone (305) 743-4748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 7054FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Keys Counseling, LLC Psychologist CurrentSince Nov 2, 2010 Accepting new patients

Locations

5701 Overseas Hwy
Ste 12
Marathon, FL 33050
Phone (305) 743-4748

5701 Overseas Hwy
Ste 17
Marathon, FL 33050
Phone (305) 434-1400

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262476800000",
    "number": "1487746251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 OVERSEAS HWY",
            "address_2": "SUITE 17",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502784",
            "telephone_number": "305-923-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 OVERSEAS HWY",
            "address_2": "SUITE 17",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502784",
            "telephone_number": "305-923-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 7054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.