Watermark Bayside, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WATERMARK BAYSIDE, LLC

Practice address

1440 40TH St
Emeryville, CA 94608-3552

Phone

(510) 594-8800

NPI assigned

Jan 19, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Greta Frazier

Title

Director

Phone

(520) 797-4000

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ariane Dobrin

  • Marriage & Family Therapist
  • Emeryville, CA
  • NPI 1477951374
  NPD (past)
• Elizabeth L. Nickels, M.A., PSY.D.

  • Clinical Psychologist
  • San Leandro, CA
  • NPI 1184882607
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1174980338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 40TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946083552",
            "telephone_number": "510-594-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK BAYSIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ryan Wallin, M.D.
• Agnes Warhover, PA
• Erinanne Warman
• Essence Washington
• Amir Wasserman
• Imani D Webster
• Hannah E Wehner
• Marni Weinstock, MPA, MS, RD
• Wellbound of Emeryville LLC
• Courtney B Westenburg, FNP-BC

• Assisted Living Facility in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.