Todd Kenneth Karakashian, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201250157NP Issued in OR

Practice address

1133 NW 21St Ave Ste 104
Ste. 104
Portland, OR 97209-1513

Phone

(503) 406-2727

Fax

(503) 974-2000

NPI assigned

Oct 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Calico Mental Health Associates LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1992223861
  NPD (past)

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1851644439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 NW 21ST AVE",
            "address_2": "STE. 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091513",
            "telephone_number": "503-850-9123",
            "fax_number": "503-210-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 NW 21ST AVE STE 104",
            "address_2": "STE. 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091513",
            "telephone_number": "503-406-2727",
            "fax_number": "503-974-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAKASHIAN",
        "first_name": "TODD",
        "middle_name": "KENNETH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-20",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60299917",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201250157NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022959",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deniz Kara, MD
• Jonathan Edward Karademos, M.D.
• Jan Kyoko Karadimas, PSYD
• Anastasiia Karadzha, MD
• Gary Karagodsky, PHARMD
• Karalee Kiser LCSW PC
• Karalee Kiser MSW LCSW PC
• Karaleekiserlcswpc
• Sarah Karalunas, PH.D.
• Chafic Karam, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.