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

Active since February 15, 2018PECOS EnrolledAccepts Medicare Assignment
12625 HIGH BLUFF DR STE 216, SAN DIEGO, CA 92130(760) 635-3310(760) 230-9291 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 psychologist 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 Taxonomy103T00000X
Provider Legal NameDR. PHILIP WATSON
Location Address12625 HIGH BLUFF DR STE 216San Diego, CA 92130-2054
Mailing Address12625 High Bluff Dr Ste 216San Diego, CA 92130-2054 · (760) 635-3310 · Fax (760) 230-9291
Fax(760) 230-9291
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 15, 2018
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
NPI 1619477767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 35748
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
12625 HIGH BLUFF DR STE 216, 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.

Other Providers at the Same Location NPPES 2

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

Psychologist (Forensic)
12625 HIGH BLUFF DR STE 216
SAN DIEGO, CA 92130
Psychologist (Clinical)
12625 HIGH BLUFF DR STE 216
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 12625 High Bluff Dr Ste 216, San Diego, CA 92130. The listed phone number is (760) 635-3310.

What is Philip Watson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

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 July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.