Individual provider Active NPI

Deborah Watson, PH.D., LMHC

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1669723623
Registry record updated Oct 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10959 Issued in FL
Practice address
3440 Hollywood Blvd
Suite 415
Hollywood, FL 33021-6927
Phone
(954) 446-5032
NPI assigned
Sep 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH10959 FL
Mental Health Counselor 101YM0800X 10959 FL Primary

Addresses

Primary practice location

3440 Hollywood Blvd
Suite 415
Hollywood, FL 33021-6927

Mailing address

8362 Pines Blvd
#338
Pembroke Pines, FL 33024-6600
Phone (954) 446-5032

Other names 1

  • Deborah Watson Professional name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH10959FLMDAddiction (Substance Use Disorder) Counselor
10959FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381536000000",
    "number": "1669723623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8362 PINES BLVD",
            "address_2": "#338",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246600",
            "telephone_number": "954-446-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD",
            "address_2": "SUITE 415",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216927",
            "telephone_number": "954-446-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DEBORAH",
        "credential": "PH.D., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-30",
        "last_updated": "2013-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH10959",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "10959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WATSON",
            "credential": "PH.D, LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2013; 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.