Emily Bluma Watkins, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

328930 Issued in NY

Practice address

201 Manor PL
Greenport, NY 11944-1298

Phone

(631) 477-5273

NPI assigned

Apr 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1164086914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W 106TH ST APT 12B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258106",
            "telephone_number": "860-851-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MANOR PL",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441298",
            "telephone_number": "631-477-5273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 W 106th St Apt 12B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100258106",
            "country_code": "US",
            "telephone_number": "860-851-4086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "EMILY",
        "middle_name": "BLUMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "328930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Hospital at Stony Brook
• University Hospital at Stony Brook
• Urological Associates of Li, PC
• Jennifer Verley
• Bryan Anthony Volpe, DO
• Michelle Ann Weingart, RN
• Claudette Welch, NURSE
• Nancy L Williams, MSPT
• Winthrop Community Medical Affiliates, PC
• Nanette Helena Yavel, LCSW

• Psychiatry Physician in Greenport, NY
• Providers in Greenport, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.