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CLINAE WATSON
NPI 1235647173
Psychologist - Clinical Child & Adolescent in Los Angeles, CA

Active since January 12, 2018PECOS Enrolled
4401 CRENSHAW BLVD, LOS ANGELES, CA 90043(323) 290-8360 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 7, 2022, Feb 10, 2020, Jan 12, 2018 (3 updates tracked since 2018).

About Clinae Watson NPPES

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

CLINAE WATSON (NPI 1235647173) is an individual clinical child & adolescent provider in Los Angeles, California, licensed in California (94026403) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235647173
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameCLINAE WATSON
Location Address4401 CRENSHAW BLVDLos Angeles, CA 90043-1227
Mailing Address3031 S Vermont AveLos Angeles, CA 90007-3033 · (323) 373-2400
Phone(323) 290-8360
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 12, 2018
Last NPPES UpdateFebruary 7, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1235647173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · 94026403
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
4401 CRENSHAW BLVD, Los Angeles, CA 90043
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinae Watson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355822495
PECOS Enrollment IDI20260226000494
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Clinae Watson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cyti Health PC
112 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978

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

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.

MAYUMI HARA
Social Worker
4401 CRENSHAW BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
CITLALI MARIE VILLALPANDO
Behavior Technician
4401 CRENSHAW BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 291-7100
MARY EWELL LMFT
Marriage & Family Therapist
4401 CRENSHAW BLVD, SUITE 300
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
AMBER RAYNE BLISS AMFT
Marriage & Family Therapist
4401 CRENSHAW BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360
ROSEMARIE A ESPINOZA
Behavior Technician
4401 CRENSHAW BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 291-7100
CLARISSA OSEGUEDA
Behavior Technician
4401 CRENSHAW BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 291-7100
MYRON LOYDE ANDREWIN
Behavior Technician
4401 CRENSHAW BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 291-7100
JOSHUA STANLEY POTTER-EFRON LCSW
Social Worker (Clinical)
4401 CRENSHAW BLVD
LOS ANGELES, CA 90043
Los Angeles County (323) 290-8360

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 Clinae Watson's NPI number?

The NPI number for Clinae Watson is 1235647173. It was assigned to this individual provider in the NPPES registry on January 12, 2018.

Where is Clinae Watson located?

Clinae Watson practices at 4401 Crenshaw Blvd, Los Angeles, CA 90043. The listed phone number is (323) 290-8360.

What is Clinae Watson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Clinae Watson enrolled in Medicare?

Yes. Clinae Watson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clinae Watson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinae Watson reassigns Medicare benefits to Cyti Health PC (San Diego, 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 Clinae 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 Clinae Watson was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.