Individual provider Active NPI

Phillip Alan Jaskot, PMHNP-BC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1437975182
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0038010 Issued in OH
Practice address
4770 Indianola Ave Ste 209
Columbus, OH 43214-1862
Phone
(614) 427-3205
NPI assigned
Nov 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0038010 OH Primary

Addresses

Primary practice location

4770 Indianola Ave Ste 209
Columbus, OH 43214-1862

Mailing address

156 Minerva St
Tiffin, OH 44883-1562
Phone (614) 427-3205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121003169 OH Practitioner - Nurse Practitioner 9638656648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio University, College of Osteopathic Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Psychiatric Services LLCGroup PAC ID 0749700631, 3 clinicians

Practice addresses (Care Compare)

4770 Indianola Ave
Suite 209
Columbus, OH 43214-1862
Phone (614) 427-3205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0038010OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mesmerize Psychiatric Services L.L.C. Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Real Psychiatric Services LLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

4770 Indianola Ave
Ste 111
Columbus, OH 43214
Phone (614) 407-5152

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1437975182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 MINERVA ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831562",
            "telephone_number": "614-427-3205",
            "fax_number": "727-677-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE STE 209",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141862",
            "telephone_number": "614-427-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKOT",
        "first_name": "PHILLIP",
        "middle_name": "ALAN",
        "credential": "PMHNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0038010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.