Charito Marcelo, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

11478 Issued in OK

Practice address

320 12TH Ave NE
Norman, OK 73071-5238

Phone

(405) 573-3821

Fax

(405) 573-8256

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charito Quiambo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003975582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 CEDAR HILL RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723161",
            "telephone_number": "405-364-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 12TH AVE NE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730715238",
            "telephone_number": "405-573-3821",
            "fax_number": "405-573-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELO",
        "first_name": "CHARITO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "11478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1111478",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITO",
            "last_name": "QUIAMBO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marilyn Leigh Manolakas, CASE MANAGER
• Mary F Mantle
• Robin M. Mantooth, M.D.
• Jordin Maple
• Maranda Greenfield, LCSW PLLC
• Ferrella A March, LPC
• McKenzie Dee March, APRN
• Susan Taft Marcus-Mendoza, PHD
• Stephanie Marino
• Karissa P. Marion-Smith, MS, CCC-SLP

• Psychiatry Physician in Norman, OK
• Providers in Norman, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.