Active NPI
Deborah Clark Watts, M.D.
- Psychiatry Physician
- Huntsville, AL
National Provider Identifier
1821079914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4460
- Practice address
- 810 Regal Dr SW
Huntsville, AL 35801-5603 - Phone
- (256) 534-6556
- NPI assigned
- Nov 7, 2005
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4460 | AL | Primary |
Addresses
Primary practice location
810 Regal Dr SW
Huntsville, AL 35801-5603
Mailing address
810 Regal Dr SW
Huntsville, AL 35801-5603
Phone (256) 534-6556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51506256 | Other | AL | FEDERAL BLUE CROSS |
| 51018415 | Other | AL | BLUE CROSS BLUE SHIELD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4460 | AL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821079914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 REGAL DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015603",
"telephone_number": "256-534-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 REGAL DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015603",
"telephone_number": "256-534-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "DEBORAH",
"middle_name": "CLARK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "4460",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE CROSS",
"identifier": "51506256",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51018415",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.