Johnathan Christopher Watson, PSYD | |
3102 E Highland Ave, Patton, CA 92369-7813 | |
(909) 425-7000 | |
Not Available |
Full Name | Johnathan Christopher Watson |
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Gender | Male |
Speciality | Psychologist - Forensic |
Location | 3102 E Highland Ave, Patton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568862423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TF0200X | Psychologist - Forensic | 31376 (California) | Primary |
Entity Name | Department Of State Hospitals |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
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Johnathan Christopher Watson, PSYD Po Box 1432, Rancho Cucamonga, CA 91729-1432 Ph: (504) 357-1661 | Johnathan Christopher Watson, PSYD 3102 E Highland Ave, Patton, CA 92369-7813 Ph: (909) 425-7000 |
Dr. Crystal Mueller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 Phone: 909-425-7628 | |
Dr. Devin Randle, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-672-6394 | |
Dr. Victoria May King Palenscar, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-7791 | |
Dr. Donna L Robinson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 East Highland Ave, Patton, CA 92369 Phone: 909-425-7000 Fax: 909-425-7520 | |
Kelly Jean Hunsicker, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635 | |
Dr. Troy Steven Freimuth, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E Highland Ave, Patton, CA 92369 Phone: 909-425-6043 | |
Melanie Ann Byde, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 Phone: 909-425-7679 Fax: 909-425-6635 |