Active NPI
Lisa Camille Watson, PSYD
- Clinical Psychologist
- West Palm Beach, FL
National Provider Identifier
1699293183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9944
- Practice address
- 7754 Okeechobee Blvd Ste 919
West Palm Beach, FL 33411-2104 - Phone
- (954) 574-2760
- NPI assigned
- Sep 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11497 | MA | |
| Clinical Psychologist | 103TC0700X | PY9944 | FL | Primary |
Addresses
Primary practice location
7754 Okeechobee Blvd Ste 919
West Palm Beach, FL 33411-2104
Mailing address
7754 Okeechobee Blvd Ste 919
West Palm Beach, FL 33411-2104
Phone (954) 574-2760
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9944 | FL | MD | Clinical Psychologist |
| PSY11497 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1699293183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7754 OKEECHOBEE BLVD STE 919",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334112104",
"telephone_number": "954-574-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7754 OKEECHOBEE BLVD STE 919",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334112104",
"telephone_number": "954-574-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "LISA",
"middle_name": "CAMILLE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "PSY11497",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.