Jack Chelebian, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N6216 Issued in TX

Practice address

6625 Wooldridge Rd
Suite 101
Corpus Christi, TX 78414-2916

Phone

(361) 884-1236

Fax

(361) 884-5331

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Psychiatry

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nueces County Mental Health and Mental Retardation Community CtrGroup PAC ID 7618954777, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Nueces County Mental Health & Mental Retardation Community Ctr

  • Psychiatry Physician
  • Corpus Christi, TX
  • NPI 1255357828
  Medicare reassignment Care Compare group NPD
• Catholic Charities of the Diocese of Rochester

  • Community/Behavioral Health Agency
  • Rochester, NY
  • NPI 1790853844
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1295763399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD",
            "address_2": "SUITE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-884-1236",
            "fax_number": "361-884-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD",
            "address_2": "SUITE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-884-1236",
            "fax_number": "361-884-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELEBIAN",
        "first_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N6216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Chavarria
• Jose Chavarria, PHYSICAL THERAPIST
• Maribel Chavez, PA-C
• Rosenda Chavez, APRN
• Kasi Viswanatha Raju Chekuri, MD
• Anna Jasmine Chen, REGISTERED NURSE
• Defeng Chen, MD
• Jackson C Chen, M.D.
• Richard P. Chepey, M.D.
• Rose Cherian, PHARMD, RPH

• Psychiatry Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.