Individual provider Active NPI

Nicholas Robert Kresic-Watson, ED.S.

  • School Psychologist
  • Cuyahoga Falls, OH
National Provider Identifier
1972416097
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LSP.02263 Issued in OH
Practice address
2630 13TH St
Cuyahoga Falls, OH 44223-2202
Phone
(330) 926-3801
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X LSP.02263 OH Primary

Addresses

Primary practice location

2630 13TH St
Cuyahoga Falls, OH 44223-2202

Mailing address

405 Tallmadge Rd Ste 2201
Cuyahoga Falls, OH 44221-3362
Phone (330) 926-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1972416097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD STE 2201",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213362",
            "telephone_number": "330-926-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 13TH ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442232202",
            "telephone_number": "330-926-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESIC-WATSON",
        "first_name": "NICHOLAS",
        "middle_name": "ROBERT",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "LSP.02263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.