Individual provider Active NPI

Christopher Watson, PSYD, ABPP

  • Clinical Child & Adolescent Psychologist
  • Arlington Heights, IL
National Provider Identifier
1881624484
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
071006787 Issued in IL
Practice address
415 W Golf Rd Ste 16
Arlington Heights, IL 60005
Phone
(847) 752-6827
Fax
(847) 577-1558
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071006787 IL
Clinical Child & Adolescent Psychologist 103TC2200X 071006787 IL Primary

Addresses

Primary practice location

415 W Golf Rd Ste 16
Arlington Heights, IL 60005

Mailing address

415 W Golf Rd Ste 16
Arlington Heights, IL 60005-3923
Phone (847) 752-6827

Other practice location 1

121 S Wilke Rd
Suite 403
Arlington Heights, IL 60005-1527
Phone (847) 577-0904

Other identifiers 1

IdentifierTypeStateIssuer
01635186OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000691 IL Practitioner - Clinical Psychologist 8921045329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Behavioral Health Services PCGroup PAC ID 7113964511, 6 clinicians

Practice addresses (Care Compare)

415 W Golf Rd
Arlington Heights, IL 60005-3923
Phone (847) 752-6827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071006787ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Harbor Autism Support PC Clinical Child & Adolescent CurrentSince Nov 17, 2024 Accepting new patients
Bonaventure Medical Foundation, LLC Past Accepting new patients
Alexian Brothers Behavioral Health Hospital Past Accepting new patients
Alexian Brothers Behavioral Health Hospital Clinical Past Accepting new patients

Locations

415 W Golf Rd
Ste 18
Arlington Heights, IL 60005
Phone (847) 637-5334

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/aa9a3bec-4c8c-4fc5-b283-495def30e623/
  • FHIR API: https://api.platform.athenahealth.com/380/brand/6/csg/181/fhir/r4
  • FHIR API: https://epicmobile.presencehealth.org/fhirPRD/api/FHIR/R4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1881624484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 16",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "847-752-6827",
            "fax_number": "847-577-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 16",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-752-6827",
            "fax_number": "847-577-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S Wilke Rd",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600051527",
            "country_code": "US",
            "telephone_number": "847-577-0904",
            "fax_number": "847-577-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PSYD, ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006787",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071006787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635186",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.