AMANDA JOY WATERS (NPI# 1144570474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144570474 |
| Entity Type | Individual |
| Full Name | AMANDA JOY WATERS |
| Credential | M.A. |
| Practice Address |
1720 E 120th St Los Angeles CA 90059-3052 |
| Mailing Address |
75 Hockanum Blvd Unit 735 Vernon CT 06066-4056 |
| Practice Telephone | 3106683096 |
| Practice Fax Number | 3102230910 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003624 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998102 | Amanda Anne Waters | Nurse Practitioner | 1209 Cypress Pt E, Winter Haven, FL 33884-3027 | 2020-07-01 |
| 1962866012 | Amanda Waters | Marriage & Family Therapist | 986 W Atherton Dr, Taylorsville, UT 84123-6887 | 2016-04-05 |
| 1154715696 | Amanda Waters | Chiropractor | 10901 Tom Watson Pkwy, Parkville, MO 64152-3991 | 2015-03-23 |
| 1063850493 | Amanda K Waters | Nurse Anesthetist, Certified Registered | 3309 Sw 34th Cir, Suite 101, Ocala, FL 34474-3392 | 2013-06-07 |
| 1093093270 | Amanda Monique Waters | Occupational Therapy Assistant | 100 Hightower Blvd, Suite 201, Pittsburgh, PA 15205-1150 | 2011-07-22 |
| Street Address |
1720 E 120TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487687018 | Los Angeles County Department of Mental Health | Clinic/Center | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2006-07-08 |
| 1750991576 | Imani White | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-08-06 |
| 1770192494 | Caitlyn Schallmann | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-07-28 |
| 1053920330 | Laura Roggenbaum | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-07-23 |
| 1467078642 | Melissa Mares | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-06-23 |
| 1376169557 | Bretlyn Owens | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2020-06-23 |
| 1912544503 | Elizabeth Estefania Mendez | Case Manager/Care Coordinator | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-12-03 |
| 1942854153 | Allana Gabrielle Robinson | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-07-25 |
| 1821558198 | Stephanie Joyce Washington | Counselor | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-03-22 |
| 1881168383 | Natalie R Escalante | Student in an Organized Health Care Education/Training Program | 1720 E 120th St, Los Angeles, CA 90059-3052 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
Please comment or provide details below to improve the information on AMANDA JOY 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.