Deep Waters Psychiatric Medical Group, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DEEP WATERS PSYCHIATRIC MEDICAL GROUP, INC.

Practice address

9531 Pittsburgh Ave
Rancho Cucamonga, CA 91730-6008

Phone

(909) 256-8360

NPI assigned

Mar 18, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Annelle Maurer

Title

Corporate Secretary

Phone

(888) 984-7888

Specialties & licenses 1

Addresses

Practitioners 1

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

• James Stephen Maurer, M.D.

  • Psychiatry Physician
  • Patton, CA
  • NPI 1659323392
  NPD

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489795200000",
    "number": "1770024119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11387",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924231387",
            "telephone_number": "888-984-7888",
            "fax_number": "888-984-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9531 PITTSBURGH AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306008",
            "telephone_number": "909-256-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP WATERS PSYCHIATRIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-18",
        "last_updated": "2017-03-18",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ANNELLE",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "888-984-7888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Dean
• Danielle Dean
• Deborshi Roy MD Inc
• Daniel Debrier
• Elena Lynne Decastro, MS, OTR/L
• Deepak Thiagarajan, a Professional Medical Corporation
• Jasmine Ronquillo Deguzman, M.A., LMFT #117289
• Ahmed Nowaf Dehal, MD
• Kimberly Dehesa
• Sylvian Deigh, LCSW

• Psychiatry Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2017; 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.