Jessica Graber, PHD, BCBA-D, COBA

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

P.08421 Issued in OH

Practice address

5650 Blazer Parkway Ste 137
Dublin, OH 43017-3562

Phone

(614) 877-6129

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Wildflower Pediatric Psychology, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Dublin, OH
  • NPI 1942013818
  NPD Authorized official

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1548896947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 BLAZER PARKWAY STE 137",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173562",
            "telephone_number": "614-877-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 BLAZER PARKWAY STE 137",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173562",
            "telephone_number": "614-877-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "JESSICA",
        "credential": "PHD, BCBA-D, COBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "3151",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37954",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08421",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "P.08421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetriona Goudeau, RBT
• Brooke Morgan Gould
• Candace Marie Gourno, RPH
• Navin Goyal, M.D.
• Eszter Gozon, LMT
• Grace Point Living LLC
• Sarah K Graffagnino, LISW
• Cherish Graham
• Theodore Saintantonio Graham
• Anna Michelle Gramke, PT

• Clinical Child & Adolescent Psychologist in Dublin, OH
• Providers in Dublin, OH by specialty
• Clinical Child & Adolescent Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.