Watershed at Clear Lake

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

2210-A Issued in TX

Legal business name

WATERSHED AT CLEAR LAKE

Practice address

200 Congress Park Dr
Suite 100
Delray Beach, FL 33445-4609

Phone

(561) 361-6608

Fax

(561) 361-9857

NPI assigned

Feb 23, 2006

Organization subpart

No

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

Authorized official

Name

Patrick S Kirse, CPA

Title

Chief Financial Officer

Phone

(561) 361-6608

Specialties & licenses 1

Addresses

Other names 1

• WATERSHED AT CLEAR LAKE Doing business as

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508832288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984127",
            "telephone_number": "561-361-6608",
            "fax_number": "561-361-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CONGRESS PARK DR",
            "address_2": "SUITE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454609",
            "telephone_number": "561-361-6608",
            "fax_number": "561-361-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSHED AT CLEAR LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "561-361-6608",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "TX",
            "license": "2210-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATERSHED AT CLEAR LAKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bella Warren
• Sarah Wasser, P.A.
• Yehuda Wasser, PT
• Bryan J Wasserman, MD
• Arielle Waters, PT, DPT
• Jessica Angela Watkins, LCSW
• Alyse R Wayne, PA
• Tristen Wayne
• Wayside House, Inc.
• Wayside House, Inc.

• Rehabilitation Hospital in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Rehabilitation Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.