Jadrian DB Watkins, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0030687 Issued in OH

Practice address

196 Colonial Dr
Youngstown, OH 44505-2139

Phone

(330) 322-2348

NPI assigned

Sep 23, 2021

Sex

Male

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center Street Community Clinic IncGroup PAC ID 7012815210, 12 clinicians

Generations Behavioral Health-Geneva LLCGroup PAC ID 3476862210, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Generations Behavioral Health-Geneva LLC

  • Psychiatric Hospital
  • Geneva, OH
  • NPI 1073906301

  OH

  Medicare reassignment Care Compare group NPD
• Alcove Ventures LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, OH
  • NPI 1093191322

  OH, Psychiatric/Mental Health

  Medicare reassignment NPD
• Generations Behavioral Health Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Youngstown, OH
  • NPI 1699300319

  OH

  Medicare reassignment NPD
• Generations Behavioral Health-Youngstown, LLC

  • Psychiatric Hospital
  • Youngstown, OH
  • NPI 1407366255

  OH

  Medicare reassignment NPD
• Miller Psychiatric Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Austintown, OH
  • NPI 1003564550

  OH, Psychiatric/Mental Health

  Medicare reassignment NPD
• Psycho Social Therapies,LTD

  • Clinical Social Worker
  • Beachwood, OH
  • NPI 1750335261

  OH

  Medicare reassignment NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  Nurse Practitioner, OH

  Medicare reassignment NPD
• Center Street Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, OH
  • NPI 1780984211
  Care Compare group
• Center Street Community Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Galion, OH
  • NPI 1942840871
  Care Compare group
• Center Street Community Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Marion, OH
  • NPI 1306627476
  Care Compare group
• Center Street Community Clinic, Inc

  • Multi-Specialty Clinic/Center
  • Marion, OH
  • NPI 1609657766
  Care Compare group
• Center Street Community Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Gilead, OH
  • NPI 1811303068
  Care Compare group

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1558032227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 COLONIAL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052139",
            "telephone_number": "330-322-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 COLONIAL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052139",
            "telephone_number": "330-322-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JADRIAN",
        "middle_name": "DB",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.460025",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0030687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald L Wasko Jr., MD
• Cybele A Wassef, MD
• Krista J. Wasser, MA.ED.,LPCC,LICDC-CS
• Paul W Watanakunakorn, M.D.
• Antoine Watkins, B.S.
• Jazzlynn Watkins
• Chauntie Watson
• Heather Watson
• Shelly Ann Watson, RD,LD,CDE
• Thankful Rae Watson, MSW, LSW

• All providers in Youngstown, OH
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.