Organization Active NPI

Damian Waters & Associates, LLC

Doing business as Waters & Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Marlboro, MD
National Provider Identifier
1689273963
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DAMIAN WATERS & ASSOCIATES, LLC
Doing business as
Waters & Associates
Practice address
9701 Apollo Dr Ste 491
Upper Marlboro, MD 20774-4798
Phone
(240) 547-9565
NPI assigned
Oct 19, 2020
Last updated
Oct 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Authorized official

Name
Dr. Damian M. Waters, LCMFTNPI 1245585728
Title
Owner
Phone
(202) 744-9430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

9701 Apollo Dr Ste 491
Upper Marlboro, MD 20774-4798

Mailing address

10000 Greenspire Way
Bowie, MD 20721-2719
Phone (202) 744-9430

Other names 1

  • Waters & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

9701 Apollo Dr
Ste 491
Upper Marlboro, MD 20774
Phone (202) 843-7622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1689273963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 GREENSPIRE WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212719",
            "telephone_number": "202-744-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 491",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207744798",
            "telephone_number": "240-547-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIAN WATERS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-744-9430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waters & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.