Jessica R Watrous, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26756 Issued in CA

Practice address

5252 Balboa Ave Ste 803
San Diego, CA 92117-6920

Phone

(858) 214-7877

NPI assigned

Jun 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1558743161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 803",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176920",
            "telephone_number": "858-214-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 803",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176920",
            "telephone_number": "858-214-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATROUS",
        "first_name": "JESSICA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki S Watkins, M.A., PSY.D.
• Pamela Jeanne Watkins, PSYD
• Shanelle Watkins
• Susan Watkins, PT, DPT, OCS
• Telah Watkins
• Alexandria Watson, RBT
• Amanda Marie Watson, RN
• Audrey Elaine Watson, SUDRC
• Deborah Watson, M.D.
• Dylan Watson

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.