Melinda Judith Garabedian, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 14322 Issued in CA

Practice address

28348 Roadside Dr Ste 201
Agoura Hills, CA 91301-2596

Phone

(805) 558-5852

Fax

(818) 699-6053

NPI assigned

Jul 9, 2006

Sex

Female

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 CA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1457384604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28348 ROADSIDE DR STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012596",
            "telephone_number": "805-558-5852",
            "fax_number": "818-699-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28348 ROADSIDE DR STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012596",
            "telephone_number": "805-558-5852",
            "fax_number": "818-699-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 Las Virgenes Rd",
            "address_2": "Suite 217",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021956",
            "country_code": "US",
            "telephone_number": "805-558-5852",
            "fax_number": "805-241-7754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5012 Chesebro Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "91301",
            "country_code": "US",
            "telephone_number": "805-558-5852",
            "fax_number": "805-241-7754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARABEDIAN",
        "first_name": "MELINDA",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 14322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.