Henry K. Watanabe, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

7657 Issued in NV

Practice address

5190 Neil Rd
#215
Reno, NV 89502-6599

Phone

(775) 784-6388

Fax

(775) 784-1428

NPI assigned

Jan 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1851442263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST",
            "address_2": "# MS-1332",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895571332",
            "telephone_number": "775-682-8175",
            "fax_number": "775-327-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NEIL RD",
            "address_2": "#215",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026599",
            "telephone_number": "775-784-6388",
            "fax_number": "775-784-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATANABE",
        "first_name": "HENRY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "7657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016022",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Washoe County Senior SVC
• Washoe Mental Wellness LLC
• Washoe Sleep Disorder Ctr
• Washoe Sleep Disorer Center
• Leslie Wasley
• Kaylee Waters, PT, DPT
• Khin Wathan
• Derrica L Watkins
• Stephanie Lynn Watkins
• Tida Amor Watkins, PHARM.D.

• Child & Adolescent Psychiatry Physician in Reno, NV
• Providers in Reno, NV by specialty
• Child & Adolescent Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.