Active NPI
Carol Julianne Watson, PSY.D.
- Clinical Psychologist
- El Cajon, CA
National Provider Identifier
1669514238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 17837
- Practice address
- 900 N Cuyamaca St Ste 206
El Cajon, CA 92020-1865 - Phone
- (619) 997-9794
- NPI assigned
- Feb 12, 2007
- 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 17837 | CA | Primary |
Addresses
Primary practice location
900 N Cuyamaca St Ste 206
El Cajon, CA 92020-1865
Mailing address
900 N Cuyamaca St Ste 206
El Cajon, CA 92020-1865
Phone (619) 997-9794
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 17837 | CA | MD | Clinical Psychologist |
Interoperability endpoints
- carol.watson.1@21277.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232323200000",
"number": "1669514238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N CUYAMACA ST STE 206",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920201865",
"telephone_number": "619-997-9794",
"fax_number": "619-401-7177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N CUYAMACA ST STE 206",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920201865",
"telephone_number": "619-997-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "CAROL",
"middle_name": "JULIANNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2009-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 17837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.