Active NPI
Myriam Levesque Graham, PH.D.
- Counseling Psychologist
- Seymour, IN
National Provider Identifier
1053772038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 20043452A
- Practice address
- 322 Dupont Dr
Seymour, IN 47274-1723 - Phone
- (812) 523-0386
- Fax
- (812) 523-8416
- NPI assigned
- Mar 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Psychologist | 103TC0700X | 20043452A | IN | |
| Counseling Psychologist | 103TC1900X | 20043452A | IN | Primary |
Addresses
Primary practice location
322 Dupont Dr
Seymour, IN 47274-1723
Mailing address
1704 Central Ave
Columbus, IN 47201-5326
Phone (812) 799-0074
Other practice location 1
1704 Central Ave
Columbus, IN 47201
Phone (812) 799-0074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043452A | IN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher and Associates | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1053772038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 CENTRAL AVE",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472015326",
"telephone_number": "812-799-0074",
"fax_number": "812-799-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 DUPONT DR",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472741723",
"telephone_number": "812-523-0386",
"fax_number": "812-523-8416"
}
],
"practiceLocations": [
{
"address_1": "1704 Central Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "IN",
"postal_code": "47201",
"country_code": "US",
"telephone_number": "812-799-0074",
"fax_number": "812-799-0319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "MYRIAM",
"middle_name": "LEVESQUE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043452A",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IN",
"license": "20043452A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.