Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PHILIP WATSON
NPI 1619477767
Psychologist - Clinical in San Diego, CA

Active since February 15, 2018PECOS EnrolledAccepts Medicare Assignment
12636 HIGH BLUFF DR STE 400, SAN DIEGO, CA 92130(619) 830-9552 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 10, 2026, Feb 15, 2018 (2 updates tracked since 2018).

About Dr. Philip Watson NPPES

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

DR. PHILIP WATSON (NPI 1619477767) is an individual clinical provider in San Diego, California, licensed in California (35748) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Encinitas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619477767
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. PHILIP WATSON
Location Address12636 HIGH BLUFF DR STE 400San Diego, CA 92130-2071
Mailing Address5505 Stevens Way Unit 740244San Diego, CA 92174-7011 · (619) 830-9552
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 15, 2018
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
NPI 1619477767 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 CA · 35748
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.
12636 HIGH BLUFF DR STE 400, San Diego, CA 92130

Secondary Practice Location 1

Location 1355 Santa Fe Dr Ste 200Encinitas, CA 92024-5153 · Phone (760) 635-3310 · Fax (760) 230-9291

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip Watson 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.

PECOS PAC ID5395248330
PECOS Enrollment IDI20250915000685
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
12636 HIGH BLUFF DR STE 400
SAN DIEGO, CA 92130
Marriage & Family Therapist
12636 HIGH BLUFF DR STE 400
SAN DIEGO, CA 92130
Psychologist (Clinical)
12636 HIGH BLUFF DR STE 400
SAN DIEGO, CA 92130
Marriage & Family Therapist
12636 HIGH BLUFF DR STE 400
SAN DIEGO, CA 92130
Clinic/Center
12636 HIGH BLUFF DR STE 400
SAN DIEGO, CA 92130
Psychiatry & Neurology (Psychiatry)
12636 HIGH BLUFF DR STE 400
SAN DIEGO, CA 92130
Psychologist (Clinical)
12636 HIGH BLUFF DR STE 400
SAN DIEGO, CA 92130
Psychologist
12636 HIGH BLUFF DR STE 400
SAN DIEGO, CA 92130

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 Philip Watson's NPI number?

The NPI number for Philip Watson is 1619477767. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Philip Watson located?

Philip Watson practices at 12636 High Bluff Dr Ste 400, San Diego, CA 92130. The listed phone number is (619) 830-9552.

What is Philip Watson's specialty?

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

Is Philip Watson enrolled in Medicare?

Yes. Philip 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.

When was this NPI record last updated?

The NPPES record for Philip Watson was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.