Christopher Gene Watson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33067 Issued in CA

Practice address

30200 Agoura Rd Ste 190
Agoura Hills, CA 91301-5431

Phone

(818) 981-7845

Fax

(818) 459-3787

NPI assigned

Jun 2, 2016

Last updated

Feb 1, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA, OR2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rogue Psych Consultants LLCGroup PAC ID 1850632415, 19 clinicians

Jaime Elizabeth Medvene PHD a Professional Psychological CorporaGroup PAC ID 7911063201, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jaime Elizabeth Medvene PHD a Professional Psychological Corpora

  • Clinical Psychologist
  • Agoura Hills, CA
  • NPI 1306084272
  Medicare reassignment Care Compare group NPD
• Rogue Psych Consultants, LLC

  • Mental Health Counselor
  • Ashland, OR
  • NPI 1447727110
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1982052635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CALLE CATALUNA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930129471",
            "telephone_number": "310-457-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 190",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015431",
            "telephone_number": "818-981-7845",
            "fax_number": "818-459-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Von Kronemann
• Kelsey Waesche
• Lisa Fae Wagner
• Jennifer Jettie Walker
• Barry Jay Wallman
• Wealth Taxi Inc (Wealth Taxi)
• Elizabeth Apollonia Weiner, LMFT
• Molly Weinstein, RN
• Mitchell Weksler, M.D.
• Wendy Crandall-Cohen, M.a. LMFT

• Clinical Psychologist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.