Hans Robert Watson, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

11831256-1204 Issued in UT

Practice address

1654 W Reunion Ave Ste 10B
South Jordan, UT 84095-4676

Phone

(406) 404-6815

NPI assigned

Jul 18, 2012

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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.

Enrollment records 1

Specialty

Psychiatry

Education

West Virginia School of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dynamic Psychiatry PLLCGroup PAC ID 0840667614, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Dynamic Psychiatry PLLC

  • Psychiatry Physician
  • South Jordan, UT
  • NPI 1679225536

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154

  Single Specialty

  Medicare reassignment NPD
• Ihc Health Services Inc

  dba McKay Dee Dentistry

  • Dental Clinic/Center
  • Ogden, UT
  • NPI 1386207835
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Dynamic Psychiatry & Wellness

  • Multi-Specialty Clinic/Center
  • Lehi, UT
  • NPI 1265324628
  NPD (past)
• Renaissance Ranch Heyburn

  • Substance Abuse Rehabilitation Facility
  • Heyburn, ID
  • NPI 1114692373
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1508111337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 W REUNION AVE STE 10B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954676",
            "telephone_number": "801-349-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 W REUNION AVE STE 10B",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954676",
            "telephone_number": "406-404-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "HANS",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "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": "NE",
            "license": "1284",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "11831256-1204",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MT",
            "license": "77729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Matthew Watkins, ACMHC
• Joseph R Watkins, M.D.
• Joshua Watkins, LCSW
• Casey Adam Watson
• Cristen Jenkins Watson, RN
• M. Shane Watt, DC
• David O. Weber III, L.C.S.W./M.S.
• Sean Weber
• Ivy Dean Welch, APRN, FNP
• Tawni Marie Welch, FNP

• Psychiatry Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
• 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.

Verify at the official NPI Registry.