Individual provider Active NPI

Brandy Michelle Watson, LP

  • Psychologist
  • Lubbock, TX
National Provider Identifier
1770379042
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
39113 Issued in TX
Practice address
3223 S Loop 289 Ste 416
Lubbock, TX 79423-1365
Phone
(806) 454-5191
NPI assigned
Apr 15, 2025
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 39113 TX Primary

Addresses

Primary practice location

3223 S Loop 289 Ste 416
Lubbock, TX 79423-1365

Mailing address

10204 Homestead Ave
Lubbock, TX 79424-3880
Phone (806) 407-7201

Other names 1

  • Dr. Brandy Michelle Pina-Watson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819005205 TX Practitioner - Clinical Psychologist 3476052036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4021 112TH St
Lubbock, TX 79423-6749
Phone (806) 454-5191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pina-Watson Psychological Services, PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

3223 S Loop 289
Ste 416
Lubbock, TX 79423
Phone (806) 281-0911

4021 112th St
Lubbock, TX 79423
Phone (806) 416-6436

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1770379042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 HOMESTEAD AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243880",
            "telephone_number": "806-407-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 S LOOP 289 STE 416",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231365",
            "telephone_number": "806-454-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BRANDY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "39113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "PINA-WATSON",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.