Healthcare Provider Details

I. General information

NPI: 1578366811
Provider Name (Legal Business Name): THE WATSON INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 NICHOLSON ROAD BUILDING 3, SUITE 3240
SEWICKLEY PA
15143-7608
US

IV. Provider business mailing address

2605 NICHOLSON ROAD BUILDING 3, SUITE 3240
SEWICKLEY PA
15143-7608
US

V. Phone/Fax

Practice location:
  • Phone: 412-749-2880
  • Fax: 412-741-9021
Mailing address:
  • Phone: 412-749-2880
  • Fax: 412-741-9021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALEXANDRA WILKES
Title or Position: DIRECTOR OF PSYCHOLOGICAL SERVICES
Credential:
Phone: 412-749-2880