Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568862423 Individual Practitioner Male Practitioner

Dr. Johnathan Christopher Watson , PsyD

Psychologist - Forensic • Patton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Johnathan Watson, PsyD is a registered healthcare professional specializing in Psychologist - Forensic in Patton, CA. Practice services are available at 3102 E HIGHLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3102 E Highland Ave

Patton, CA 923697813

Telephone 9094257000
Associated Practice Facility / Clinic
🏢 Department Of State Hospitals Facility NPI 1043249204

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Patton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Patton, CA (267 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-05
Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License CA 31376

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Robert Adams , MD

Psychiatry & Neurology - Psychiatry

NPI 1003825886

Doctor of Medicine (M.D.)

Dr. Arareli Alcantara-Liu , MD

Psychiatry & Neurology - Psychiatry

NPI 1013962117

Doctor of Medicine (M.D.)

Dr. Michael Cummings , MD

Psychiatry & Neurology - Psychiatry

NPI 1023061793

Doctor of Medicine (M.D.)

Nashira Funn , LCSW

Social Worker - Clinical

NPI 1023299203

Licensed Clinical Social Worker

Debra Johnson , LCSW

Social Worker - Clinical

NPI 1023551488

Licensed Clinical Social Worker

Michael Dewit , LCSW

Social Worker - Clinical

NPI 1023970738

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 05, 2023

Registered at 3102 E HIGHLAND AVE, PATTON, CA 923697813 (Tel: 9094257000)

📍
Updated Business Mailing Address December 05, 2023

Registered at PO BOX 1432, RANCHO CUCAMONGA, CA 917291432 (Tel: 5043571661)

👤
Provider Name / Credentials Updated December 05, 2023

Recorded as JOHNATHAN WATSON, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2023

Psychologist (License #31376 in CA)

NPI Profile Active August 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2014

Registered at 125 W F ST # 101, ONTARIO, CA 917623201 (Tel: 9099864550)

📍
Updated Business Mailing Address August 28, 2014

Registered at 129 N 2ND ST APT C, ALHAMBRA, CA 918013447 (Tel: 5043571661)

👤
Provider Name / Credentials Updated August 28, 2014

Recorded as JOHNATHAN WATSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2014

Counselor

🟢
Initial NPI Registration & Enumeration August 28, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568862423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2014
Last Update: December 05, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 1432

Rancho Cucamonga, CA 917291432

Phone: 5043571661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.