Healthcare Provider Details

I. General information

NPI: 1760601512
Provider Name (Legal Business Name): THE WATSON INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LINDEN AVE
PITTSBURGH PA
15215-2322
US

IV. Provider business mailing address

301 CAMPMEETING RD
SEWICKLEY PA
15143-8773
US

V. Phone/Fax

Practice location:
  • Phone: 412-749-2879
  • Fax: 412-741-1958
Mailing address:
  • Phone: 412-749-2879
  • Fax: 412-741-1958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number411590
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number414590
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number414590
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number414590
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number414590
License Number StatePA

VIII. Authorized Official

Name: BARRY BOHN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 412-749-2813