MRS. CARLA RAYCHELLE WATSON (NPI# 1427307164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427307164 |
| Entity Type | Individual |
| Full Name | MRS. CARLA RAYCHELLE WATSON |
| Other Name | MS. CARLA RAYCHELLE BRYANT |
| Credential | M.D. |
| Practice Address |
Children's Hospital of Mi/specialty Center 3950 Beaubien Ground Floor, Garden Level Detroit MI 48201 |
| Mailing Address |
4201 St. Antoine Uhc 5d # 226 University Pediatricians Detroit MI 48201 |
| Practice Telephone | 3137455437 |
| Practice Fax Number | 3137450955 |
| Mailing Telephone | 3139665051 |
| Mailing Fax Number | 3139660665 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301101320 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
4301101320 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669800397 | Carla Modisett Watson | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2013-10-15 |
| 1356418446 | Carla Patrice Watson | Rehabilitation Practitioner | 730 45th Ave, Munster, IN 46321-2818 | 2006-11-30 |
| Street Address |
CHILDREN'S HOSPITAL OF MI/SPECIALTY CENTER 3950 BEAUBIEN GROUND FLOOR, GARDEN LEVEL |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326216821 | Aimee F Luat | Psychiatry & Neurology | 3901 Beaubien St., Children's Hospital of Mi, Detroit, MI 48201 | 2008-02-19 |
| 1588893762 | Naznin Mahmood | Psychiatry & Neurology | 2799 W Grand Blvd, Department of Neurology, K-11, Detroit, MI 48202-2608 | 2009-07-08 |
| 1962677963 | Lunliya Thampratankul | Psychiatry & Neurology | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-04-29 |
| 1770755936 | Daniela Olga Tapos | Psychiatry & Neurology | 3901 Beaubien St, Childrens Hospital of Mi 3rd Fl, Detroit, MI 48201-2119 | 2008-03-27 |
| 1821114612 | Beata Ruprecht | Psychiatry & Neurology | 22201 Moross Rd, Suite 270, Detroit, MI 48236-2169 | 2007-03-22 |
| 1831183524 | Iqbal Allarakhia | Psychiatry & Neurology | 22201 Moross Rd, Ste 270, Detroit, MI 48236-2169 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184735698 | Olufemi O Soyode | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2006-08-31 |
| 1669419560 | Marianne E Majkowski | Psychiatry & Neurology | 2919 E. Wilder Rd, Suite 220, Bay City, MI 48706-9299 | 2006-05-31 |
| 1104815786 | Michael A Nigro | Psychiatry & Neurology | 6832 Ferry Ave, Charlevoix, MI 49720-9501 | 2005-10-17 |
| 1215921432 | Brian Eric Woodruff | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2005-09-02 |
| 1053943928 | Msu Health Care Inc. | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2020-02-10 |
| 1962968164 | Genesee Health System | Psychiatry & Neurology | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2019-02-13 |
| 1629503024 | Suleiman Kojan | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Beaumont Hospital Royal Oak, Royal Oak, MI 48073-6710 | 2017-04-24 |
| 1710342027 | Kabelo Joseph Thusang | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2015-12-31 |
| 1942620638 | Center for Adolescent and Child Neurology | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2014-04-21 |
| 1164866414 | David Sung-wook Moon | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2013-04-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.