Individual provider Active NPI

Vinita S Watts, MD

  • Psychiatry Physician
  • Columbus, IN
National Provider Identifier
1760454839
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01038323A Issued in IN
Practice address
720 N Marr Rd
Columbus, IN 47201-6660
Phone
(812) 314-3500
Fax
(812) 378-8367
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 01038323A IN
Psychiatry Physician 2084P0800X 01038323A IN Primary

Addresses

Primary practice location

720 N Marr Rd
Columbus, IN 47201-6660

Mailing address

645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691

Other identifiers 2

IdentifierTypeStateIssuer
200000490AMedicaidIN
000000094397OtherINANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20090210000178 IN Practitioner - Psychiatry 1759446677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kentucky College of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Centerstone of Indiana IncGroup PAC ID 9436138427, 114 clinicians
Centerstone Health Services IncGroup PAC ID 1850497173, 25 clinicians

Practice addresses (Care Compare)

100 N 15TH St
Richmond, IN 47374-4355
Phone (765) 983-8600

1092 W Community Way
Scottsburg, IN 47170-7768
Phone (812) 414-1520

1315 Hillcrest Rd
Bedford, IN 47421-3023
Phone (812) 329-4950

1443 Corporate Way
Seymour, IN 47274-3391
Phone (812) 522-4341

1530 N Commerce W Dr
Greensburg, IN 47240-3205
Phone (812) 663-7057

3008 Bevcher Dr
Madison, IN 47250-3863
Phone (812) 265-1918

3008 N Bevcher Dr
Madison, IN 47250-3863
Phone (812) 265-1918

645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691

720 N Marr Rd
Columbus, IN 47201-6660
Phone (812) 314-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Indiana, Inc. CurrentSince Dec 1, 2008 Accepting new patients
Centerstone Health Services, Inc. CurrentSince Mar 13, 2020 Accepting new patients
Centerstone of Indiana, Inc. CurrentSince Dec 1, 2008 Accepting new patients
Centerstone Health Services, Inc. Current Accepting new patients
Centerstone Health Services, Inc CurrentSince Mar 13, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Centerstone Health Services, Inc. Past Accepting new patients

Locations

645 S Rogers St
Ste A
Bloomington, IN 47403
Phone (812) 269-5092

645 S Rogers St
Bloomington, IN 47403
Phone (812) 339-1691

720 N Marr Rd
Ste A
Columbus, IN 47201
Phone (812) 314-3400

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

390 Erie Ave
Ste A
Connersville, IN 47331
Phone (812) 325-7492

831 Dillon Dr
Ste A
Richmond, IN 47374
Phone (765) 200-7900

Interoperability endpoints

  • Direct secure messaging: vinita.watts.1@24341.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24341/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centerstone Health Services IncRichmond, IN, CCN 151878 Federally qualified health center Corporate Officer (25%) Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1760454839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353",
            "telephone_number": "812-339-1691",
            "fax_number": "812-337-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N MARR RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016660",
            "telephone_number": "812-314-3500",
            "fax_number": "812-378-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTS",
        "first_name": "VINITA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01038323A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01038323A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200000490A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000094397",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.