Shelli Hazel Watson, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

40616 Issued in CA

Practice address

116 Agnes Ave
Santa Maria, CA 93458-2838

Phone

(805) 457-3724

NPI assigned

Nov 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Telecare Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Maria, CA
  • NPI 1205480563
  NPD
• Santa Barbara County Auditor

  • Federally Qualified Health Center (FQHC)
  • Lompoc, CA
  • NPI 1649096249
  NPD (past)
• Telecare Corporation

  • Psychiatric Residential Treatment Facility
  • Santa Maria, CA
  • NPI 1245897354
  NPD (past)

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1184097651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587771",
            "telephone_number": "805-212-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 AGNES AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934582838",
            "telephone_number": "805-457-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Carmen Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934587771",
            "country_code": "US",
            "telephone_number": "805-212-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "SHELLI",
        "middle_name": "HAZEL",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "40616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELECARE CORPORATION-AGNES AVE",
            "identifier": "1205480563",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELECARE CORPORATION",
            "identifier": "1245897354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica R Warren, P.T.
• Sunitha Warrier, OTR/L
• George M Warwick II, DO
• Milton Washington
• Kera Waters
• Sheryl Watson
• Douglas Waugh Sr.
• Terry Waugh
• Waves Foot and Ankle Inc.
• Patrick David Wayland, RPT

• Licensed Psychiatric Technician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.