Active NPI
Krikor B Garabedian, PH.D.
- Clinical Child & Adolescent Psychologist
- Stillwater, OK
National Provider Identifier
1104850346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 714
- Practice address
- 913 S Main St
Suite 1
Stillwater, OK 74074-4635 - Phone
- (405) 743-8318
- Fax
- (405) 743-8318
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 714 | OK | |
| Clinical Psychologist | 103TC0700X | 714 | OK | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 714 | OK | Primary |
| Psychologist | 103T00000X | 714 | OK | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 714 | OK |
Addresses
Primary practice location
913 S Main St
Suite 1
Stillwater, OK 74074-4635
Mailing address
913 S Main St
Suite 1
Stillwater, OK 74074-4635
Phone (405) 743-8318
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100631500B | Medicaid | OK | |
| 100631500C | Medicaid | OK |
Other names 1
- Dr. Greg B Garabedian
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 714 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1104850346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 S MAIN ST",
"address_2": "SUITE 1",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744635",
"telephone_number": "405-743-8318",
"fax_number": "405-743-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 S MAIN ST",
"address_2": "SUITE 1",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744635",
"telephone_number": "405-743-8318",
"fax_number": "405-743-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARABEDIAN",
"first_name": "KRIKOR",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OK",
"license": "714",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "714",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OK",
"license": "714",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "714",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "OK",
"license": "714",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100631500B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100631500C",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GREG",
"last_name": "GARABEDIAN",
"middle_name": "B",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Stillwater, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.