Toby Tyler Watson, PSY.D. – Clinical Psychologist

Key facts

NPI: 1831537307
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: 2563-057 (WI)
Practice address: 2808 Kohler Memorial Drive
Suite 1
Sheboygan, WI 53081-3166
Phone: (920) 208-7226
NPI assigned: Jun 6, 2013
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Associated Psychological Health Services Clinical Psychologist · Sheboygan, WI · NPI 1508939372

NPD (past) CLINICAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2563-057	WI	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
Associated Psychological Health Services	Clinical	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	2563-057	WI	Yes
Forensic Psychologist	103TF0200X	2563-057	WI

Addresses

Primary practice location

2808 Kohler Memorial Drive
Suite 1
Sheboygan, WI 53081-3166

Mailing address

2808 Kohler Memorial Dr
Suite 1
Sheboygan, WI 53081-3177
Phone (920) 208-7226

Other providers in Sheboygan, WI

All providers in Sheboygan, WI · Clinical Psychologist in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.