Individual provider Active NPI

Veronique Sebastian, MD

  • Psychiatry Physician
  • Oklahoma City, OK
National Provider Identifier
1740371129
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20879 Issued in OK
Practice address
3000 W Memorial Rd Ste 218
Oklahoma City, OK 73120-6103
Phone
(405) 755-5801
Fax
(405) 755-5802
NPI assigned
Sep 28, 2006
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20879 OK Primary

Addresses

Primary practice location

3000 W Memorial Rd Ste 218
Oklahoma City, OK 73120-6103

Mailing address

12800 Castlerock CT
Oklahoma City, OK 73142-5127
Phone (405) 245-5646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20090518000174 OK Practitioner - Psychiatry 7618026964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13321 N Meridian Ave
Suite 104
Oklahoma City, OK 73120-8356
Phone (405) 755-5801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20879OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sebastian PC Psychiatry CurrentSince Aug 10, 2003 Accepting new patients
Marcia S. Moore, PH.D., PLC PastSince Aug 10, 2003 Accepting new patients

Locations

13321 N Meridian Ave
Ste 104
Oklahoma City, OK 73120
Phone (405) 755-5801

4140 W Memorial Rd
Ste 221
Oklahoma City, OK 73120
Phone (405) 755-5801

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1740371129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 CASTLEROCK CT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425127",
            "telephone_number": "405-245-5646",
            "fax_number": "405-755-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 W MEMORIAL RD STE 218",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206103",
            "telephone_number": "405-755-5801",
            "fax_number": "405-755-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "VERONIQUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "20879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.