TARYN WATERS (NPI# 1568778041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568778041 |
| Entity Type | Individual |
| Full Name | TARYN WATERS |
| Credential | LPT |
| Practice Address |
7155 Mission Gorge Rd San Diego CA 92120-1130 |
| Practice Telephone | 8583000460 |
| Practice Fax Number | 8583000461 |
| Mailing Telephone | 8583000460 |
| Mailing Fax Number | 8583000461 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2010-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT 35437 | CA | Nursing Service Providers |
| Street Address |
7155 MISSION GORGE RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205941085 | Darlene Beth Schaeffer | Physical Therapist | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2006-08-20 |
| 1194110981 | Angelica Garcia | Case Manager/Care Coordinator | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2015-03-30 |
| 1386036770 | Vivian Quintero | Case Manager/Care Coordinator | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2015-02-23 |
| 1982002358 | Ansley Curtis | Marriage & Family Therapist | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-12-16 |
| 1407254402 | Joshua Reynolds | Case Manager/Care Coordinator | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-12-08 |
| 1528465044 | Emelia Pine | Counselor | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-11-26 |
| 1124425962 | Janqueshia Gay | Case Manager/Care Coordinator | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-11-21 |
| 1730583576 | Amanda Rose Flores | Counselor | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-10-21 |
| 1871994954 | Megan A. Clarke-dimaquibo | Registered Nurse | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-09-09 |
| 1609277714 | Kaitlin Elizabeth Kyle | Case Manager/Care Coordinator | 7155 Mission Gorge Rd, San Diego, CA 92120-1130 | 2014-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851873343 | Edward Cameron | Licensed Psychiatric Technician | 8898 Clairemont Mesa Blvd, San Diego, Ca 92, Suite H, San Diego, CA 92123 | 2018-08-31 |
| 1003966516 | Marissa M Abril | Licensed Psychiatric Technician | 427 C St Ste 212, San Diego, CA 92101-5121 | 2007-01-10 |
| 1710594742 | Ashley Nicole Gatoloai | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-09-24 |
| 1881229102 | Maria Virginia Gutierrez | Licensed Psychiatric Technician | 545 Laurel St, San Diego, CA 92101-1634 | 2020-03-06 |
| 1740824085 | B. Alicia Alatorre | Licensed Psychiatric Technician | 4309 3rd Ave, San Diego, CA 92103-1407 | 2019-10-30 |
| 1952819682 | Summer Yanez Hopkins | Licensed Psychiatric Technician | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-01-16 |
| 1841726296 | Lyshone Reeder | Licensed Psychiatric Technician | 892 27th St, San Diego, CA 92154-1444 | 2017-05-04 |
| 1639580434 | Valorie Ruka | Licensed Psychiatric Technician | 427 C St, Suite 212, San Diego, CA 92101-5100 | 2014-05-14 |
| 1003158932 | Ruby A Garcia | Licensed Psychiatric Technician | 600 B St Ste 1570, San Diego, CA 92101-4560 | 2013-03-18 |
| 1184961351 | Freddie Bunch | Licensed Psychiatric Technician | 734 10th Ave, San Diego, CA 92101-6502 | 2013-01-08 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on TARYN WATERS.
| 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.