NPIMap

Organization Active NPI

The Watson Institute

  • Child & Adolescent Psychiatry Physician
  • Sewickley, PA
National Provider Identifier
1710106562
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
414591 Issued in PA
Legal business name
THE WATSON INSTITUTE
Practice address
301 Campmeeting Rd
Sewickley, PA 15143-8773
Phone
(412) 749-2879
Fax
(412) 741-1958
NPI assigned
Apr 24, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Barry Bohn
Title
Chief Financial Officer
Phone
(412) 749-2813

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 414591 PA
Clinical Neuropsychologist 103G00000X 414591 PA
Psychologist 103T00000X 414591 PA
Clinical Social Worker 1041C0700X 414591 PA
Child & Adolescent Psychiatry Physician 2084P0804X 414591 PA Primary

Addresses

Primary practice location

301 Campmeeting Rd
Sewickley, PA 15143-8773

Mailing address

301 Campmeeting Rd
Sewickley, PA 15143-8773
Phone (412) 749-2879

Other identifiers 1

IdentifierTypeStateIssuer
1007525810005MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
The Watson Institute7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710106562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CAMPMEETING RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438773",
            "telephone_number": "412-749-2879",
            "fax_number": "412-741-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CAMPMEETING RD",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438773",
            "telephone_number": "412-749-2879",
            "fax_number": "412-741-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WATSON INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BOHN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "412-749-2813"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "414591",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "414591",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "414591",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "414591",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "414591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007525810005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.