Reshana Shimanna Watson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112742 Issued in CA

Practice address

2000 Baker St
Bakersfield, CA 93305-3061

Phone

(661) 873-4927

Fax

(661) 873-4928

NPI assigned

Apr 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bakersfield Recovery Services, Inc.

  dba Bakersfield Recovery Services, Inc. Capistrano

  • Substance Abuse Rehabilitation Facility
  • Bakersfield, CA
  • NPI 1093847998
  NPD (past)
• Michigan House Inc.

  dba Michigan House 1

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1467060053
  NPD (past)

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1548723570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3218",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933853218",
            "telephone_number": "661-873-4927",
            "fax_number": "661-273-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 BAKER ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933053061",
            "telephone_number": "661-873-4927",
            "fax_number": "661-873-4928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937045731",
            "country_code": "US",
            "telephone_number": "559-227-3454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5610 W Donner Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223721",
            "country_code": "US",
            "telephone_number": "559-227-3454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "RESHANA",
        "middle_name": "SHIMANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "112742",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Watson
• Cordell Wayne Watson, MD
• Julia Watson
• Julia Grace Watson
• Nicole Danielle Watson, D.D.S.
• Seamus Watson
• Tiffany Watson
• Yolonda Lynn Watson, RT
• Keisha Theresa Watt
• Sally Ann Watt, RN., B.S.N. PHN

• Marriage & Family Therapist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.