Look up the most recent NPI and PECOS records

Watson Family Service

Marriage & Family Therapist

Behavioral Health & Social Service Providers

12180 Ridgecrest Rd Ste 402, Victorville, CA 92395-5902

PECOS Enrollment

Based on the most recent information from CMS, provider Watson Family Service does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1831044528
Provider Type
Organization
Full Name
Watson Family Service

Subpart
No
Enumeration Date
2/27/2026
Last Updated
2/27/2026

Contact Information

Practice Location

12180 Ridgecrest Rd Ste 402, Victorville, CA 92395-5902

(760) 881-3558

Unlisted Fax

Mailing Location

12180 Ridgecrest Rd Ste 402, Victorville, CA 92395-5902

(760) 881-3558

Unlisted Fax

Authorized Official

Watson, Jerome (Owner)

(909) 915-4998

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License Unlisted Issuer

Watson Family Service

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Harrell, Aamber

Stutson, Shirley Ann

Johnson, Kasha M

Yonnik Llc

Burtron, Sheryle

Sinclair, Randall Lewis

Burrows, Jason Wayne

Mascarella, Carlton Patrick

Callahan, Mark

Lee, Kevin Patrick