JOHANNES WATTIMENA (NPI# 1215419668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215419668 |
| Entity Type | Individual |
| Full Name | JOHANNES WATTIMENA |
| Practice Address |
26624 Saffron Circle Moreno Valley CA 92555 |
| Practice Telephone | 9514850423 |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
26624 SAFFRON CIRCLE |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| 1538581806 | Ashley Leann Abrams | Dentist | 27339 Darlene Drive, Moreno Valley, CA 92555 | 2014-01-06 |
| Find all providers in zip 92555 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974824 | Melody Dominique Williams | Counselor | 28128 Belfry Cir, Moreno Valley, CA 92555-5414 | 2020-08-26 |
| 1427524875 | Tabitha Lopez | Counselor | 14579 Lynnlee Ln, Moreno Valley, CA 92555-4720 | 2018-10-23 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1497169049 | Rene Torres | Counselor | 11355 Hubbard St, Moreno Valley, CA 92557-5647 | 2014-06-11 |
| 1215351663 | Darryl Kenney | Counselor | 13204 Day St Apt L203, Moreno Valley, CA 92553-7392 | 2014-02-05 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1720316680 | Wendy Phuong Nguyen | Counselor | 12150 Pigeon Pass Rd Apt E246, Moreno Valley, CA 92557-6975 | 2009-12-03 |
| 1093320491 | Miriam Noemi Galindo | Counselor | 13800 Heacock St Ste D111, Moreno Valley, CA 92553-3340 | 2020-09-11 |
| 1831702463 | Zhenyu Zhang | Counselor | 13800 Heacock St Ste D111, Moreno Valley, CA 92553-3340 | 2020-08-24 |
| 1528619996 | Rubi M Barajas | Counselor | 15740 Turnberry St, Moreno Valley, CA 92555-4903 | 2019-09-26 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
Please comment or provide details below to improve the information on JOHANNES WATTIMENA.
| 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.