JENNIFER M WATSON PHD LLC
NPI 1093047375
Psychologist - Clinical in Gainesville, FL

Q: What is Jennifer M Watson Phd LLC's NPI number?

The NPI number for Jennifer M Watson Phd LLC is 1093047375. It was assigned to this organization in the NPPES registry on February 11, 2010.

Q: What is Jennifer M Watson Phd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since February 11, 2010

5214 SW 91ST TERRACE, SUITE A, GAINESVILLE, FL 32608(352) 337-0551(352) 374-2166 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jennifer M Watson Phd Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER M WATSON PHD LLC (NPI 1093047375) is a healthcare organization registered as a clinical in Gainesville, Florida and active in the NPI registry since February 2010. The organization lists Jennifer M Watson, Owner, as its authorized official.

NPPES Registry Identity

NPI1093047375

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJENNIFER M WATSON PHD LLC

Location Address5214 SW 91ST TERRACE, SUITE AGainesville, FL 32608

Mailing Address5214 Sw 91st Terrace, Suite AGainesville, FL 32608 · (352) 337-0551 · Fax (352) 374-2166

Phone(352) 337-0551

Fax(352) 374-2166

Organization SubpartNo

Authorized OfficialJennifer M WatsonOwner · (352) 337-0551

Enumeration DateFebruary 11, 2010

Last NPPES UpdateOctober 25, 2018

✔ NPI 1093047375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in FL · PY7111

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

5214 SW 91ST TERRACE, Gainesville, FL 32608

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Watson Phd Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer M Watson Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Watson, PHD

Clinical Psychologist

NPI 1235390352

5341 SW 91ST TER
Gainesville, FL 32608

(352) 256-4904

✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer M Watson Phd LLC's NPI number?

The NPI number for Jennifer M Watson Phd LLC is 1093047375. It was assigned to this organization in the NPPES registry on February 11, 2010.

Where is Jennifer M Watson Phd LLC located?

Jennifer M Watson Phd LLC is located at 5214 SW 91st Terrace Suite A, Gainesville, FL 32608. The listed phone number is (352) 337-0551.

What is Jennifer M Watson Phd LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer M Watson Phd LLC enrolled in Medicare?

Yes. Jennifer M Watson Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer M Watson Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jennifer M Watson Phd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer M Watson Phd LLC was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.