Individual provider Active NPI

Christy Karabetian, PHD

  • Clinical Psychologist
  • Lake Worth, FL
National Provider Identifier
1780159491
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10272 Issued in FL
Practice address
2290 10TH Ave N Ste 601
Lake Worth, FL 33461-6618
Phone
(561) 823-3178
Fax
(561) 516-8861
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY10272 FL
Clinical Psychologist 103TC0700X PY10272 FL Primary

Addresses

Primary practice location

2290 10TH Ave N Ste 601
Lake Worth, FL 33461-6618

Mailing address

2290 10TH Ave N Ste 601
Lake Worth, FL 33461-6618
Phone (561) 823-3178

Other practice location 1

8895 N Military Trl Ste 202B
West Palm Beach, FL 33410-6284
Phone (917) 855-2799

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190208000099 FL Practitioner - Clinical Psychologist 4486992914 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellie PBC2 LLCGroup PAC ID 6002355302, 6 clinicians

Practice addresses (Care Compare)

8895 N Military TRL
Suite 202B
West Palm Beach, FL 33410-6284
Phone (917) 855-2799

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie PBC2 LLC CurrentSince Mar 1, 2024 Accepting new patients
Ellie PBC LLC CurrentSince Feb 5, 2024 Accepting new patients
Florida Health Sciences Center Inc CurrentSince Dec 22, 2018 Accepting new patients

Locations

2290 10th Ave N
Ste 601
Lake Worth Beach, FL 33461
Phone (561) 823-3178

5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100

6 Tampa General Cir
Tampa, FL 33606
Phone (813) 844-3541

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

8895 N Military Trl
Ste 202B
West Palm Beach, FL 33410
Phone (561) 556-4544

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1780159491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 10TH AVE N STE 601",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616618",
            "telephone_number": "561-823-3178",
            "fax_number": "561-516-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 10TH AVE N STE 601",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616618",
            "telephone_number": "561-823-3178",
            "fax_number": "561-516-8861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8895 N Military Trl Ste 202B",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334106284",
            "country_code": "US",
            "telephone_number": "917-855-2799",
            "fax_number": "561-828-9305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARABETIAN",
        "first_name": "CHRISTY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10272",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.