DR. PHILIP WATSON (NPI# 1932561677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932561677 |
| Entity Type | Individual |
| Full Name | DR. PHILIP WATSON |
| Credential | PH.D. |
| Practice Address |
7559 263rd St Glen Oaks NY 11004-1150 |
| Practice Telephone | 7184704832 |
| Mailing Telephone | 7184704832 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 021244 | NY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 021244 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336548213 | Philip Edwin Watson | Specialist/Technologist | 1255 Hempstead Tpke, New York Islanders, Uniondale, NY 11553-1260 | 2014-08-18 |
| 1730227299 | Philip Dean Watson | Physician Assistant | 1203 E Ross Byp, Suite A, Tahlequah, OK 74464-4133 | 2007-02-04 |
| 1558368308 | Philip Dean Watson | Internal Medicine | 520 S 7th St, Vincennes, IN 47591-1038 | 2005-07-07 |
| Street Address |
7559 263RD ST |
| City | GLEN OAKS |
| State | NY |
| Zip Code | 11004-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093769978 | Lola Robins Occhiogrosso | Psychiatry & Neurology | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2006-05-22 |
| 1427663996 | Miriam Holtzman | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-09-11 |
| 1225641830 | Dor Brender | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-08-25 |
| 1073121596 | Ketrice-ann Delonnay | Nurse Practitioner | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-07-21 |
| 1427675149 | Destiny Latoya Bernard | Nurse Practitioner | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2020-06-29 |
| 1548883747 | Maria Daniela Ospina | Counselor | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2020-05-21 |
| 1770103384 | Julia Tartaglia | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-23 |
| 1720608714 | Joseph Flaxer | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-20 |
| 1205455904 | Elsa Thomas | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2020-04-13 |
| 1932728979 | Woo Ri Bae | Student in an Organized Health Care Education/Training Program | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2020-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356829980 | Evelyne Philippe | Counselor | 72-37 Little Neck Parkway, Glen Oaks, NY 11004 | 2018-08-06 |
| 1407333032 | Laura Restrepo | Registered Nurse | 256-11 Union Turnpike, Glen Oaks, NY 11004 | 2018-07-26 |
| 1477045920 | Linda Dorothy Babbino | Early Intervention Provider Agency | 260-44 75th Ave, Glen Oaks, NY 11004 | 2018-05-31 |
| 1356838544 | Carol Harbajan | Social Worker | 81-04 256th Street, Glen Oaks, NY 11004 | 2018-04-13 |
| 1699285759 | Wendy P Fuller | Psychologist | 75-79 263rd St, Glen Oaks, NY 11004 | 2017-10-03 |
| 1316311608 | Glen Oak Medical Care Pllc | Internal Medicine | 262-05 Hillside Ave, Glen Oaks, NY 11004 | 2015-11-24 |
| 1679952246 | Yardana S Kaufman | Student in an Organized Health Care Education/Training Program | Zucker Hillside Hospital, 75-59 263rd Street, Glen Oaks, NY 11004 | 2015-05-28 |
| 1851783401 | Shamshad Fatima Sial | Physician Assistant | 267-01 Hillside Avenue, Quality Medical Provider PC, Floral Park, NY 11004 | 2015-02-19 |
| 1710304944 | Straight Smiles Orthodontics Pllc | Dentist | 259-19 Hillside Avenue, Floral Park, NY 11004 | 2014-03-26 |
| 1316381437 | Preetha A Kuruvilla Dds PC | Dentist | 260-12 Hillside Ave, Floral Park, NY 11004 | 2013-04-19 |
| Find all providers in zip 11004 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921645 | Christine Jisun Lee | Clinical Neuropsychologist | 75-59 263rd Street, Ambulatory Care Pavilion, Room 1248, Glen Oaks, NY 11004-1100 | 2020-04-22 |
| 1659846939 | Elyssa A. Scharaga | Clinical Neuropsychologist | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408046 | Nassau Neuropsychological Services, Pllc | Clinical Neuropsychologist | 386 S Oyster Bay Rd, Hicksville, NY 11801-3509 | 2020-02-04 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1720633860 | Emily Kurlansik | Clinical Neuropsychologist | 300 W 55th St Apt 6c, New York, NY 10019-5164 | 2019-08-06 |
| 1174181382 | Kayla Whearty | Clinical Neuropsychologist | 1554 Northern Blvd Ste 204, Manhasset, NY 11030-3054 | 2019-06-03 |
| 1447729595 | Beth Krone | Clinical Neuropsychologist | 6818 Bay Cliff Ter, Brooklyn, NY 11220-5114 | 2018-11-19 |
| 1750860144 | Linda Cristina Calderon | Clinical Neuropsychologist | 635 W 165th St Rm 633a, New York, NY 10032-3724 | 2018-08-07 |
| 1366936585 | Nicole Feirsen | Clinical Neuropsychologist | 3307 Bainbridge Ave Fl 1, Bronx, NY 10467-2850 | 2018-06-20 |
| 1306349493 | Abhishek Jaywant | Clinical Neuropsychologist | 525 E 68th St # F-1699g, New York, NY 10065-4870 | 2018-03-14 |
| 1043718505 | Elsa Lee | Clinical Neuropsychologist | 25418 Northern Blvd Ste 3, Little Neck, NY 11362-1451 | 2018-01-30 |
| 1154829000 | Alice Brown Brandwein | Clinical Neuropsychologist | 445 Park Ave Fl 2, New York, NY 10022-8649 | 2018-01-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.