Active NPI
Phillip Alan Jaskot, PMHNP-BC, RN
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
National Provider Identifier
1437975182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN.CNP.0038010
- 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
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/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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0038010 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesmerize Psychiatric Services L.L.C. | Psychiatric/Mental Health | Current | Accepting new patients |
| Real Psychiatric Services LLC | Current | 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.
-
- Psychiatry Physician
- Columbus, OH
- NPI 1861102105
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1417641994
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.