Edward Marc Haraburda, PH.D., DBSM

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5608 Issued in OH

Practice address

6500 Emerald Pkwy Ste 100
Dublin, OH 43016-6236

Phone

(614) 767-9354

Fax

(888) 972-8141

NPI assigned

Aug 10, 2006

Last updated

Aug 3, 2021By the provider in NPPES

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 OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychological Sleep Services

  • Clinical Psychologist
  • Dublin, OH
  • NPI 1386984730
  NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1730190216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 EMERALD PKWY STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166236",
            "telephone_number": "614-767-9354",
            "fax_number": "888-972-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EMERALD PKWY STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166236",
            "telephone_number": "614-767-9354",
            "fax_number": "888-972-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARABURDA",
        "first_name": "EDWARD",
        "middle_name": "MARC",
        "credential": "PH.D., DBSM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hanson, PT, DPT
• Kristopher Mark Hanson, MD
• Mitchell Hanson, SWT
• Rebecca Hanssen
• Shane Hanssen
• Rai'Zhane Harbour
• Leon Hardin
• Nora Hardin
• John Harding
• Poorvi Dalal Hardman, DO

• Clinical Psychologist in Dublin, OH
• Providers in Dublin, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.