PARIS WATSON (NPI# 1265079099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265079099 |
| Entity Type | Individual |
| Full Name | PARIS WATSON |
| Practice Address |
280 17th St Oakland CA 94612-4124 |
| Mailing Address |
15501 San Pablo Ave # G241 Richmond CA 94806-5848 |
| Practice Telephone | 5102385020 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
280 17TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598852741 | Telecare Corporation | Clinic/Center | 280 17th St, Oakland, CA 94612-4124 | 2006-10-09 |
| 1497356208 | Katarzyna Modzelewska | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2020-11-06 |
| 1477166593 | Jonathan Setiawan | Case Manager/Care Coordinator | 280 17th St, Oakland, CA 94612-4124 | 2020-08-28 |
| 1780208850 | Savannah Varela | Social Worker | 280 17th St, Oakland, CA 94612-4124 | 2020-06-03 |
| 1245866631 | Princess At Wesseh | Registered Nurse | 280 17th St, Oakland, CA 94612-4124 | 2020-03-17 |
| 1578100103 | Donald Raymond Hiers | Counselor | 280 17th St, Oakland, CA 94612-4124 | 2019-12-02 |
| 1538705363 | Camille A Woods | Counselor | 280 17th St, Oakland, CA 94612-4124 | 2019-11-27 |
| 1104462175 | Ladarien Jarey Gillins | Social Worker | 280 17th St, Oakland, CA 94612-4124 | 2019-11-25 |
| 1699317628 | Tameka R Purnell | Licensed Psychiatric Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-10-10 |
| 1699337550 | Patricia A Jones | Technician | 280 17th St, Oakland, CA 94612-4124 | 2019-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596044 | Michael Holloway | Case Manager/Care Coordinator | 400 Broadway Fl 3, Oakland, CA 94607-3807 | 2020-07-22 |
| 1073130746 | Anaszsa Thompson | Case Manager/Care Coordinator | 1111 Jackson St, Oakland, CA 94607-4807 | 2020-06-29 |
| 1992321715 | Lorena Gomez-melano | Case Manager/Care Coordinator | 400 Broadway Rm 317, Oakland, CA 94607-3807 | 2020-06-17 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1972127546 | Dystany Leann Kuykendall | Case Manager/Care Coordinator | 1700 Broadway Fl 5 and 9, Oakland, CA 94612-2141 | 2020-05-29 |
| 1497310098 | Marisol Rodriguez-sanchez | Case Manager/Care Coordinator | 6221 E 17th St, Oakland, CA 94621-4107 | 2019-05-08 |
| 1780140723 | Bessie Yazmin Tejada | Case Manager/Care Coordinator | 1904 Franklin St Ste 418, Oakland, CA 94612-2927 | 2019-02-14 |
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1710479746 | Candace Yolanda Kirven-prayer | Case Manager/Care Coordinator | 150 Frank H Ogawa Plz Ste 4340, Oakland, CA 94612-2092 | 2018-06-05 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
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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.