Active NPI
Amy T Watt, PH.D.
- Clinical Psychologist
- San Francisco, CA
National Provider Identifier
1649364068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 15386
- Practice address
- 3996 Mission St
San Francisco, CA 94112-1050 - Phone
- (415) 498-0753
- NPI assigned
- Oct 2, 2006
- Last updated
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 15386 | CA | Primary |
Addresses
Primary practice location
3996 Mission St
San Francisco, CA 94112-1050
Mailing address
PO Box 2791
San Ramon, CA 94583-7791
Phone (415) 498-0753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 15386 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1649364068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2791",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945837791",
"telephone_number": "415-498-0753",
"fax_number": "415-963-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3996 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941121050",
"telephone_number": "415-498-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATT",
"first_name": "AMY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 15386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.