Active NPI
Deborah Alice Watson-Laster, PH.D, M.A.
- Professional Counselor
- Cleveland, OH
National Provider Identifier
1780872911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E1407
- Practice address
- 3170 Ashwood Rd
Cleveland, OH 44120-2850 - Phone
- (216) 561-2545
- Fax
- (216) 431-2190
- NPI assigned
- Oct 12, 2007
- Last updated
- Oct 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E1407 | OH | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | E1407 | OH |
Addresses
Primary practice location
3170 Ashwood Rd
Cleveland, OH 44120-2850
Mailing address
3170 Ashwood Rd
Cleveland, OH 44120-2850
Phone (216) 561-2545
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)
- Enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1407 | OH | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1780872911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 ASHWOOD RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441202850",
"telephone_number": "216-561-2545",
"fax_number": "216-431-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 ASHWOOD RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441202850",
"telephone_number": "216-561-2545",
"fax_number": "216-431-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON-LASTER",
"first_name": "DEBORAH",
"middle_name": "ALICE",
"name_prefix": "Dr.",
"credential": "PH.D, M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E1407",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OH",
"license": "E1407",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.