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SHIMARA WATSON
NPI 1104697440
Community/Behavioral Health in Mount Laurel, NJ

Active since January 15, 2024
76 SISTERS FARMSTEAD DR, MOUNT LAUREL, NJ 08054(347) 458-5494 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shimara Watson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIMARA WATSON (NPI 1104697440) is an individual community/behavioral health provider in Mount Laurel, New Jersey and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1104697440
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameSHIMARA WATSON
Location Address76 SISTERS FARMSTEAD DRMount Laurel, NJ 08054-1448
Mailing Address309 Fellowship Rd, East Gate Center, 200Mount Laurel, NJ 08054-1448 · (347) 458-5494
Phone(347) 458-5494
Sole ProprietorYes
Enumeration DateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
✔ NPI 1104697440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
76 SISTERS FARMSTEAD DR, Mount Laurel, NJ 08054
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shimara Watson's NPI number?

The NPI number for Shimara Watson is 1104697440. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Where is Shimara Watson located?

Shimara Watson practices at 76 Sisters Farmstead Dr, Mount Laurel, NJ 08054. The listed phone number is (347) 458-5494.

What is Shimara Watson's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Shimara Watson was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.