Active NPI
Sally Varghese, M.D.
- Psychiatry Physician
- Oklahoma City, OK
National Provider Identifier
1407930217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 12401
- Practice address
- 6613 N Meridian Ave
Oklahoma City, OK 73116-1423 - Phone
- (405) 603-8450
- Fax
- (405) 603-8455
- NPI assigned
- Oct 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 12401 | OK | Primary |
Addresses
Primary practice location
6613 N Meridian Ave
Oklahoma City, OK 73116-1423
Mailing address
6613 N Meridian Ave
Oklahoma City, OK 73116-1423
Phone (405) 603-8450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C95611 | Other | OK | UPIN |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12401 | OK | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407930217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6613 N MERIDIAN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731161423",
"telephone_number": "405-603-8450",
"fax_number": "405-603-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6613 N MERIDIAN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731161423",
"telephone_number": "405-603-8450",
"fax_number": "405-603-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "SALLY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "12401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "C95611",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- 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.