DR. MELVIN WATT (NPI# 1821055096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821055096 |
| Entity Type | Individual |
| Full Name | DR. MELVIN WATT |
| Credential | PHD |
| Practice Address |
3919 S 19th St Tacoma WA 98405-1414 |
| Mailing Address |
9340 Ne 76th St Vancouver WA 98662-3721 |
| Practice Telephone | 2537525677 |
| Practice Fax Number | 2537568936 |
| Mailing Telephone | 3602534912 |
| Mailing Fax Number | 3602535170 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY00002583 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8384976 | 05 |
| Street Address |
3919 S 19TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124533021 | Richard Joseph Mann Jr. | Physical Therapy Assistant | 3919 S 19th St, Tacoma, WA 98405-1414 | 2017-12-13 |
| 1740677483 | Patrick Mollett | Physical Medicine & Rehabilitation | 3919 S 19th St, Tacoma, WA 98405-1414 | 2015-04-21 |
| 1033500715 | Marian Kranz | Physical Therapist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2015-02-17 |
| 1477847242 | Sambath Tith | Physical Therapy Assistant | 3919 S 19th St, Tacoma, WA 98405-1414 | 2011-06-08 |
| 1285957613 | Advanced Lifeline Services | Respiratory Therapist, Certified | 3919 S 19th St, Tacoma, WA 98405-1414 | 2010-03-12 |
| 1154563492 | Lori Janeen Brees | Occupational Therapist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2009-04-01 |
| 1952543290 | Joni Ann Taylor | Physical Therapist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2009-04-01 |
| 1952580961 | Kelly Emerson | Physical Therapist | 3919 S 19th St, Tacoma, WA 98405-1414 | 2007-10-25 |
| 1316045537 | Bd Tacoma I, LLC | Skilled Nursing Facility | 3919 S 19th St, Tacoma, WA 98405-1414 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097497 | Laetitia Geoffroy-dallery | Psychologist | 6425 S Cheyenne St, Tacoma, WA 98409-1633 | 2020-09-10 |
| 1780199125 | Christopher Edwards | Psychologist | 1500 N Warner St Stop 1035, Tacoma, WA 98416-1035 | 2017-12-07 |
| 1184134314 | Colleen Rustad | Psychologist | 3224 6th Ave, Tacoma, WA 98406-5902 | 2017-10-02 |
| 1174983316 | Troy Allen Robison | Psychologist | 9600 Veterans Dr Sw # A-116atc, Tacoma, WA 98493-5000 | 2016-03-01 |
| 1447618053 | Llc Courage 2b | Psychologist | 1764 N James St, Tacoma, WA 98406-1508 | 2016-02-10 |
| 1326415472 | Sean Morrison | Psychologist | 708 Broadway Ste 170, Tacoma, WA 98402-3778 | 2015-08-25 |
| 1386981850 | Larry D Pruitt | Psychologist | 9933 W Hayes St Madigan Anx, Joint Base Lewis Mcchord, Tacoma, WA 98431-0001 | 2013-01-03 |
| 1740541945 | Quyen Bich Nguyen | Psychologist | 4301 S Pine St Ste 30-07, Tacoma, WA 98409-9123 | 2012-06-04 |
| 1518245679 | Christmas Covell | Psychologist | 2105 N 30th St, Tacoma, WA 98403-3318 | 2011-07-22 |
| 1790089001 | Maurice Patrick O'connor | Psychologist | 321 E 25th St, Tacoma, WA 98421-1300 | 2010-12-29 |
| Find all providers in TACOMA | ||||
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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.