Associated Psychological Health Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2563-057 Issued in WI

Legal business name

ASSOCIATED PSYCHOLOGICAL HEALTH SERVICES

Practice address

2808 Kohler Memorial Dr, Ste 1
Sheboygan, WI 53081-3166

Phone

(920) 457-9192

Fax

(920) 208-7060

NPI assigned

Nov 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Toby Tyler Watson, PSY.D.NPI 1831537307

Title

Psychologist Clinical Director

Phone

(920) 457-9192

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toby Tyler Watson, PSY.D.

  • Clinical Psychologist
  • Sheboygan, WI
  • NPI 1831537307
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508939372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 KOHLER MEMORIAL DR, STE 1",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813166",
            "telephone_number": "920-457-9192",
            "fax_number": "920-208-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 KOHLER MEMORIAL DR, STE 1",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813166",
            "telephone_number": "920-457-9192",
            "fax_number": "920-208-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PSYCHOLOGICAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "PSYCHOLOGIST CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "920-457-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2563-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.