DOUGLAS LEE WATSON PMHNP NPI 1770211658

NPI Information

  • NPI: 1770211658
  • Provider Name: DOUGLAS LEE WATSON, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2855 CHARLESTOWN RD
    NEW ALBANY, IN
    ZIP 47150
  • Phone: (502) 265-5866

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NPI Details

Douglas Lee Watson, PMHNP is a psychiatric/mental health nurse practitioner in New Albany, IN with 8 years of experience. Douglas Lee Watson, PMHNP NPI is 1770211658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2855 CHARLESTOWN RD
NEW ALBANY, IN
ZIP 47150-691
Phone: (502) 265-5866
Fax: (765) 308-5660

The NPI 1770211658 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2022 and was last updated on 1/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine1030062854INDIANANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health71013479AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300010664MEDICAIDINDIANA
27100535740MEDICAIDKENTUCKY
3IN3604OTHERINDIANAMEDICARE
4K258180OTHERKENTUCKYMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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