Kristina Watson, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

4201 Springhurst Blvd Ste 203
Louisville, KY 40241-6157

Phone

(502) 807-9551

NPI assigned

Jul 31, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1962834036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SPRINGHURST BLVD STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416157",
            "telephone_number": "502-807-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SPRINGHURST BLVD STE 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416157",
            "telephone_number": "502-807-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hostrayah Faustina Watson
• Jill R Watson, MD
• Julie Anne Watson, M.D.
• Keandra Watson, APRN
• Keith Brian Watson, DMD
• Kwane Mitchell Watson, DMD
• Lisanne Watson
• Lydia Grace Watson, M.A.
• Marcy Michelle Watson, RPH
• Monique Watson

• Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.