Active NPI
Steven Brian Watson Jr.
- Group Psychotherapy Psychologist
- Wilmington, DE
National Provider Identifier
1851412506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- Practice address
- 625 N Orange St
Wilmington, DE 19801-2296 - Phone
- (302) 656-4044
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | DE | Primary |
Addresses
Primary practice location
625 N Orange St
Wilmington, DE 19801-2296
Mailing address
158 Yorke St
Salem, NJ 08079-1242
Phone (856) 392-7211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103TP2701X | Medicaid | DE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851412506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 YORKE ST",
"city": "SALEM",
"state": "NJ",
"postal_code": "080791242",
"telephone_number": "856-392-7211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N ORANGE ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198012296",
"telephone_number": "302-656-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "STEVEN",
"middle_name": "BRIAN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "DE",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103TP2701X",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
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.