Active NPI
Deagan Daryl Watson, LMHC
- Psychiatric Hospital
- Gainesville, FL
National Provider Identifier
1346520343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- MH10234
- Practice address
- 4101 NW 89TH Blvd
Gainesville, FL 32606-3813 - Phone
- (352) 494-6530
- Fax
- (352) 265-5419
- NPI assigned
- Aug 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | MH10234 | FL | Primary |
Addresses
Primary practice location
4101 NW 89TH Blvd
Gainesville, FL 32606-3813
Mailing address
4101 NW 89TH Blvd
Gainesville, FL 32606-3813
Phone (352) 494-6530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10234 | FL | MD | Psychiatric Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1346520343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 NW 89TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326063813",
"telephone_number": "352-494-6530",
"fax_number": "352-265-5419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 NW 89TH BLVD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326063813",
"telephone_number": "352-494-6530",
"fax_number": "352-265-5419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "DEAGAN",
"middle_name": "DARYL",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "FL",
"license": "MH10234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.