Active NPI
Vanessa Blair Watts, PHD
- Clinical Psychologist
- Ogden, UT
National Provider Identifier
1770069981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 100711042501
- Practice address
- 1740 Combe Rd Ste 5
Ogden, UT 84403-5094 - Phone
- (801) 621-7064
- NPI assigned
- Jul 11, 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 | 100711042501 | UT | Primary |
Addresses
Primary practice location
1740 Combe Rd Ste 5
Ogden, UT 84403-5094
Mailing address
1740 Combe Rd Ste 5
Ogden, UT 84403-5094
Phone (801) 621-7064
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100711042501 | UT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolutions, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Bountiful, UT
- NPI 1457790081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1770069981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 COMBE RD STE 5",
"city": "OGDEN",
"state": "UT",
"postal_code": "844035094",
"telephone_number": "801-621-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 COMBE RD STE 5",
"city": "OGDEN",
"state": "UT",
"postal_code": "844035094",
"telephone_number": "801-621-7064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "VANESSA",
"middle_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-11",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "100711042501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.