MS. JESSICA WATSON PSYD
NPI 1205967270
Psychologist - Clinical in Los Angeles, CA
About Ms. Jessica Watson Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JESSICA WATSON PSYD (NPI 1205967270) is an individual clinical provider in Los Angeles, California, licensed in California (28434) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Jessica Watson Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90064
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Watson's NPI number?
The NPI number for Jessica Watson is 1205967270. It was assigned to this individual provider in the NPPES registry on March 8, 2007.
Where is Jessica Watson located?
Jessica Watson practices at 4401 Crenshaw Blvd, Los Angeles, CA 90043. The listed phone number is (323) 290-8366.
What is Jessica Watson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jessica Watson enrolled in Medicare?
Yes. Jessica Watson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Watson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Watson reassigns Medicare benefits to Executive Mental Health, Inc. (Los Angeles, CA). The 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 Jessica Watson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Watson was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Ms. Jessica Watson, PSYD · NPI 1205967270
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 8, 2007.
## Identity
- **NPI:** 1205967270 (Entity type: Individual)
- **Enumerated:** March 8, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 28434 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4401 CRENSHAW BLVD, Los Angeles, CA 90043-1227
- **Phone:** (323) 290-8366
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Executive Mental Health, Inc. (NPI 1275670036, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205967270) · Data from the CMS NPPES public registry.