Individual provider Active NPI

Michael Watterson, PSY.D.

  • Psychologist
  • Butler, PA
National Provider Identifier
1891176889
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018295 Issued in PA
Practice address
205 S Duffy Rd
Ste B
Butler, PA 16001-2789
Phone
(724) 256-9881
Fax
(724) 256-9883
NPI assigned
Jun 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS018295 PA Primary
Professional Counselor 101YP2500X PC007568 PA

Addresses

Primary practice location

205 S Duffy Rd
Ste B
Butler, PA 16001-2789

Mailing address

205 S Duffy Rd
Ste B
Butler, PA 16001-2789
Phone (724) 256-9881

Other practice location 1

204 Butler Rd Ste 2
Kittanning, PA 16201-2206
Phone (724) 256-9881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170802002154 PA Practitioner - Clinical Psychologist 8123399672 Practice locations: Butler, PA; Kittanning, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 Butler Rd
Suite 2
Kittanning, PA 16201-2206
Phone (724) 256-9881

205 B S Duffy Rd
Butler, PA 16001-2789
Phone (724) 256-9881

205 S Duffy Rd
Suite B
Butler, PA 16001-2789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC007568PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiring Change LLC Professional CurrentSince Jun 10, 2026 Accepting new patients
Armstrong County Council on Alcohol and Other Drugs, Inc Current Accepting new patients
Armstrong County Council on Alcohol and Other Drugs, Inc Current Accepting new patients

Locations

205 S Duffy Rd
Ste B
Butler, PA 16001
Phone (724) 256-9881

204 Butler Rd
Ste 2
Kittanning, PA 16201
Phone (724) 256-9881

Organizations & group practices 3

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1891176889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S DUFFY RD",
            "address_2": "STE B",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012789",
            "telephone_number": "724-256-9881",
            "fax_number": "724-256-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S DUFFY RD",
            "address_2": "STE B",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012789",
            "telephone_number": "724-256-9881",
            "fax_number": "724-256-9883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Butler Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Kittanning",
            "state": "PA",
            "postal_code": "162012206",
            "country_code": "US",
            "telephone_number": "724-256-9881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTERSON",
        "first_name": "MICHAEL",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018295",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.