Organization Active NPI

Latoya C Watson. LLC

  • Community/Behavioral Health Agency
  • West Hartford, CT
National Provider Identifier
1801286992
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
008667 Issued in CT
Legal business name
LATOYA C WATSON. LLC
Doing business as
Evolve Behavioral Health
Practice address
45 S Main St
Suite 107
West Hartford, CT 06107-2441
Phone
(860) 890-4062
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Latoya Cynthia Watson
Title
Owner
Phone
(860) 890-4062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 008667 CT Primary

Addresses

Primary practice location

45 S Main St
Suite 107
West Hartford, CT 06107-2441

Mailing address

45 S Main St
Suite 107
West Hartford, CT 06107-2441

Other names 1

  • Evolve Behavioral Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1801286992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST",
            "address_2": "SUITE 107",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST",
            "address_2": "SUITE 107",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072441",
            "telephone_number": "860-890-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATOYA C WATSON. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_middle_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-890-4062"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "008667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.