MR. LAWRENCE BRUCE WATERMAN (NPI# 1508311259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508311259 |
| Entity Type | Individual |
| Full Name | MR. LAWRENCE BRUCE WATERMAN |
| Practice Address |
41002 County Center Dr 320 Temecula CA 92591-6051 |
| Practice Telephone | 9516006335 |
| Practice Fax Number | 9516006365 |
| Mailing Telephone | 9516006335 |
| Mailing Fax Number | 9516006365 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| Street Address |
41002 COUNTY CENTER DR 320 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-6051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891720603 | Christina Schmidt | Pediatrics | 41002 County Center Dr, Temecula, CA 92591-6027 | 2006-07-11 |
| 1972128981 | Ashley Servin | Marriage & Family Therapist | 41002 County Center Dr, Temecula, CA 92591-6051 | 2020-06-15 |
| 1760932354 | County of Riverside | Community/Behavioral Health | 41002 County Center Dr, Ste#320, Temecula, CA 92591-6051 | 2016-10-07 |
| 1366990723 | Denise Wharton | Counselor | 41002 County Center Dr, Ste 320, Temecula, CA 92591-6051 | 2016-09-14 |
| 1598120297 | Janet Okyerewaah Koomson | Licensed Vocational Nurse | 41002 County Center Dr, Temecula, CA 92591-6051 | 2015-12-22 |
| 1104298405 | Delia Juarez Garcia | Community Health Worker | 41002 County Center Dr, Temecula, CA 92591-6051 | 2015-10-26 |
| 1710361688 | County of Riverside | Community/Behavioral Health | 41002 County Center Dr, Ste. A, Temecula, CA 92591-6051 | 2015-07-10 |
| 1801270772 | County of Riverside | Community/Behavioral Health | 41002 County Center Dr, Ste. A, Temecula, CA 92591-6051 | 2015-07-10 |
| 1649659186 | Mariam Tahiry | Marriage & Family Therapist | 41002 County Center Dr, Suite 320, Temecula, CA 92591-6051 | 2015-05-28 |
| 1184046435 | Gary Hile | Counselor | 41002 County Center Dr, 320, Temecula, CA 92591-6051 | 2014-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416310 | Outside The Norm Counseling, Inc. | Counselor | 27403 Ynez Rd Ste 204, Temecula, CA 92591-4616 | 2020-01-23 |
| 1003394750 | Joaquin Patrick Casanas IIi | Counselor | 40925 County Center Dr Ste 2002nd, Temecula, CA 92591-6054 | 2018-08-03 |
| 1427554807 | April Dawn Jones | Counselor | 43234 Business Park Dr Ste 105, Temecula, CA 92590-3604 | 2018-04-04 |
| 1538672381 | Whitney Ann Schlife | Counselor | 43391 Business Park Dr Ste C3, Temecula, CA 92590-3694 | 2017-11-14 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| 1164978409 | Susan Rollins-swantusch | Counselor | 41002 County Circle Dr., Suite 320, Temecula, CA 92591 | 2016-08-28 |
| 1508224429 | Deanne Allen Perry | Counselor | 43164 Corte Montilla, Temecula, CA 92592-3630 | 2016-02-05 |
| 1346610953 | China Long | Counselor | 27780 Jefferson Ave Ste M, Temecula, CA 92590-2670 | 2015-09-25 |
| 1871912949 | Vincent Shanks | Counselor | 44415 Kingston Dr, Temecula, CA 92592-5621 | 2014-04-15 |
| Find all providers in TEMECULA | ||||
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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.