NPIMap

Organization Active NPI

Elementary Watson, PC

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1508154261
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
783 Issued in NE
Legal business name
ELEMENTARY WATSON, PC
Practice address
1919 S 40TH St
Suite 111
Lincoln, NE 68506-5243
Phone
(402) 488-3037
Fax
(402) 489-2296
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Authorized official

Name
Dr. Megan Elizabeth Watson, PHD
Title
President
Phone
(402) 488-3037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 783 NE Primary

Addresses

Primary practice location

1919 S 40TH St
Suite 111
Lincoln, NE 68506-5243

Mailing address

1919 S 40TH St
Suite 111
Lincoln, NE 68506-5243
Phone (402) 488-3037

Other identifiers 1

IdentifierTypeStateIssuer
10025787800MedicaidNE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1508154261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "SUITE 111",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065243",
            "telephone_number": "402-488-3037",
            "fax_number": "402-489-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "SUITE 111",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065243",
            "telephone_number": "402-488-3037",
            "fax_number": "402-489-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTARY WATSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-488-3037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NE",
            "license": "783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025787800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.