NICK WATTERS, PSYD PLC (NPI# 1801136361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801136361 |
| Entity Type | Organization |
| Organization Name | NICK WATTERS, PSYD PLC |
| Practice Address |
240 W Dixie Ave Suite 5-b Elizabethtown KY 42701-1586 |
| Mailing Address |
Po Box 6278 Elizabethtown KY 42702-6278 |
| Practice Telephone | 2704014107 |
| Mailing Telephone | 2704014107 |
| Mailing Fax Number | 2702090872 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | DR. NICHOLAS WATTERS (CEO) |
| Authorized Official Telephone | 2704014107 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
KY-1492 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30605018 | 05 |
| Street Address |
240 W DIXIE AVE SUITE 5-B |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-1586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760420459 | Kimberly Tully | Social Worker | 240 W Dixie Ave, Suite 5-b, Elizabethtown, KY 42701-1586 | 2006-06-03 |
| 1902238744 | Kelly Turner | Marriage & Family Therapist | 240 W Dixie Ave, Suite 4, Elizabethtown, KY 42701-1586 | 2013-08-03 |
| 1811231897 | Kim Sego Tully, Lcsw, Psychotherapy Services | Social Worker | 240 W Dixie Ave, Suite 5-b, Elizabethtown, KY 42701-1586 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922518216 | Nathaniel Ross Rhoad | Psychologist | 422 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2017-10-02 |
| 1669746202 | Franklin P. Ryan | Psychologist | 44 S Market St, Elizabethtown, PA 17022-2307 | 2012-02-29 |
| 1922151141 | Laura Margaret Soden | Psychologist | 208 Water Street, Suite 21, Elizabethtown, NY 12932-0356 | 2007-01-19 |
| 1518018019 | Phyllis Ann Perna | Psychologist | 107 Hand Avenue, Elizabethtown, NY 12932 | 2007-01-13 |
| 1063468817 | Nicholas Watters | Psychologist | 240 W Dixie, Suite 5-b, Elizabethtown, KY 42701-1575 | 2006-05-25 |
| 1801846647 | Jon Russell Urey | Psychologist | 2608 Ring Rd, Suite 102, Elizabethtown, KY 42701-7945 | 2006-05-11 |
| 1912961046 | Donald Edward Wooldridge | Psychologist | 2608 Ring Road, Suite 102, Elizabethtown, KY 42701 | 2006-04-14 |
| 1710941307 | Rollin S. Rhodes | Psychologist | 915 Memorial Ct, Elizabethtown, KY 42701-2525 | 2006-04-12 |
| 1538143326 | John Joseph Hannifan | Psychologist | 308 N Mulberry St, Elizabethtown, KY 42701-1846 | 2005-12-05 |
| 1164672473 | Lisa Nelson | Psychologist | 890 Rineyville Rd, Elizabethtown, KY 42701-8927 | 2008-09-23 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on NICK WATTERS, PSYD PLC.
| 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.