Watermark Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004778 Issued in VA

Legal business name

WATERMARK PSYCHOLOGICAL SERVICES

Practice address

821 W 21St St
Suite 206
Norfolk, VA 23517-1500

Phone

(757) 319-4650

Fax

(757) 644-5065

NPI assigned

Nov 18, 2014

Last updated

Nov 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Mazzio, PSY.D.NPI 1992145338

Title

Clinical Psychologist

Phone

(757) 319-4650

Specialties & licenses 2

Addresses

Locations

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.

• Lisa Anne Mazzio, PSY.D, LCP

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1992145338
  NPD (past) Authorized official

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1891191805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W 21ST ST",
            "address_2": "SUITE 206",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171500",
            "telephone_number": "757-319-4650",
            "fax_number": "757-644-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W 21ST ST",
            "address_2": "SUITE 206",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171500",
            "telephone_number": "757-319-4650",
            "fax_number": "757-644-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "MAZZIO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "757-319-4650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005945",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen L Washington, MD
• Catherine E Wasson
• James Wassum, M.D.
• Water Lily Counseling
• Diane L Waterhouse, NP
• Waterside Health & Rehab Center, LLC
• Erica Watkins, RDMS (AB,OB)
• Jeffrey Watkins
• Julia Patrice Watkins, CPT
• Quashawna Watkins, MSN, RN AGCNS

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.