Nick Watters, PSYD PLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

KY-1492 Issued in KY

Legal business name

NICK WATTERS, PSYD PLC

Practice address

240 W Dixie Ave
Suite 5-B
Elizabethtown, KY 42701-1586

Phone

(270) 401-4107

NPI assigned

Feb 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Watters, PSYDNPI 1063468817

Title

Ceo

Phone

(270) 401-4107

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Watters, PSYD

  • Clinical Psychologist
  • Elizabethtown, KY
  • NPI 1063468817
  NPD (past) Authorized official

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1801136361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6278",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427026278",
            "telephone_number": "270-401-4107",
            "fax_number": "270-209-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W DIXIE AVE",
            "address_2": "SUITE 5-B",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011586",
            "telephone_number": "270-401-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK WATTERS, PSYD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-401-4107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY-1492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas C. Murphy, DMD, PSC
• Nicholas S. Ising DMD, Ms, PLLC
• Berchaun Haldane Nicholls, M.D.
• Christopher Glenn Nichols, DMD
• Patrick Nichols, DMD
• Noel Z. Reloj,Sr, MD, PSC
• Michelle Noel-Bolden, MFTA,TCADC
• Melissa Noelle
• Adrian D Nohr, DC
• James Noland IV

• Clinical Psychologist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.