Individual provider Active NPI

Jerett Yale Watnick, D.O.

  • Psychiatry Physician
  • Tamarac, FL
National Provider Identifier
1780071274
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS15560 Issued in FL
Practice address
7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985
Phone
(954) 771-7743
Fax
(954) 771-7748
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS15560 FL Primary

Addresses

Primary practice location

7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985

Mailing address

9552 Savona Winds Dr
Delray Beach, FL 33446-9751
Phone (561) 441-5925

Other practice location 1

1601 N Palm Ave Ste 211
Pembroke Pines, FL 33026-3204
Phone (954) 447-0010

Other practice location 2

1065 NE 125TH St Ste 206
North Miami, FL 33161-5832
Phone (305) 891-0050

Other practice location 3

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone (561) 752-9490

Other practice location 4

11430 N Kendall Dr Ste 106
Miami, FL 33176-1041
Phone (305) 279-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190813001382 FL Practitioner - Psychiatry 8426365925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Practice addresses (Care Compare)

7481 W Oakland Park Blvd
Suite 100
Tamarac, FL 33319-4985
Phone (888) 852-6672

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health Systems, P.a. Psychiatry CurrentSince Aug 1, 2019 Accepting new patients
Compass Health Systems, P.a. Psychiatry CurrentSince Aug 1, 2019 Accepting new patients
QMC LLC Past Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B200
Boynton Beach, FL 33437
Phone (561) 752-9490

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

11430 N Kendall Dr
Ste 106
Miami, FL 33176
Phone (305) 279-5535

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

1065 NE 125th St
Ste 206
North Miami, FL 33161
Phone (305) 891-0050

1601 N Palm Ave
Ste 211
Pembroke Pines, FL 33026
Phone (954) 447-0010

Interoperability endpoints

  • Direct secure messaging: jwatnick219601@mhsdirect.net

Organizations & group practices 3

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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1780071274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9552 SAVONA WINDS DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334469751",
            "telephone_number": "561-441-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 W OAKLAND PARK BLVD STE 100",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 N Palm Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330263204",
            "country_code": "US",
            "telephone_number": "954-447-0010",
            "fax_number": "954-447-0899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 NE 125TH ST STE 206",
            "address_purpose": "LOCATION",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "country_code": "US",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-0497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "address_purpose": "LOCATION",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "country_code": "US",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11430 N KENDALL DR STE 106",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "country_code": "US",
            "telephone_number": "305-279-5535",
            "fax_number": "305-279-2742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATNICK",
        "first_name": "JERETT",
        "middle_name": "YALE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS15560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.