Individual provider Active NPI

Anne Christine Watson, PHD

  • Clinical Psychologist
  • Poway, CA
National Provider Identifier
1639214505
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10234 Issued in CA
Practice address
15611 Pomerado Rd Ste 535
Poway, CA 92064-2413
Phone
(858) 279-1223
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10234 CA Primary

Addresses

Primary practice location

15611 Pomerado Rd Ste 535
Poway, CA 92064-2413

Mailing address

15611 Pomerado Rd Ste 535
Poway, CA 92064-2413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110614000432 CA Practitioner - Clinical Psychologist 2264619527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

10815 Rancho Bernardo Rd
Suite 380
San Diego, CA 92127-5724
Phone (858) 279-1223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10234CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare Inc Clinical CurrentSince Apr 29, 2011 Accepting new patients
Pacific Coast Psychiatric Associates Inc Clinical CurrentSince Sep 13, 2023 Accepting new patients

Locations

1720 El Camino Real
Ste 140
Burlingame, CA 94010

2300 Boswell Rd
Ste 275
Chula Vista, CA 91914
Phone (585) 898-0612

1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292

2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264

4040 Barranca Pkwy
Ste 260
Irvine, CA 92604

8881 Fletcher Pkwy
Ste 350
La Mesa, CA 91942
Phone (619) 465-9792

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474

15611 Pomerado Rd
Ste 535
Poway, CA 92064
Phone (858) 272-6100

4361 Latham St
Ste 220
Riverside, CA 92501
Phone (206) 906-5385

5222 Pirrone Ct
Ste 101A
Salida, CA 95368

4540 Kearny Villa Rd
Ste 103
San Diego, CA 92123
Phone (858) 259-1223

4550 Kearny Villa Rd
Ste 116
San Diego, CA 92123
Phone (619) 279-1223

10815 Rancho Bernardo Rd
Ste 380
San Diego, CA 92127

8989 Rio San Diego Dr
Ste 200
San Diego, CA 92108
Phone (858) 357-5375

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

1245 S Winchester Blvd
Ste 110
San Jose, CA 95128
Phone (415) 296-5299

Organizations & group practices 2

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1639214505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD STE 535",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD STE 535",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642413",
            "telephone_number": "858-279-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "ANNE",
        "middle_name": "CHRISTINE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "10234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.