Active NPI
Sebastian PC
- Psychiatry Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20879
- Legal business name
- SEBASTIAN PC
- Practice address
- 4100 W Memorial
Suite 221
Oklahoma City, OK 73120 - Phone
- (405) 755-5801
- Fax
- (405) 755-5949
- NPI assigned
- Oct 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Veronique Sebastian, MD
- Title
- President
- Phone
- (405) 755-5801
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20879 | OK | Primary |
Addresses
Primary practice location
4100 W Memorial
Suite 221
Oklahoma City, OK 73120
Mailing address
12800 Castlerock CT
Oklahoma City, OK 73142-5127
Phone (405) 751-2605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800522305 | Other | OK | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Oklahoma City, OK
- NPI 1740371129
-
- Professional Counselor
- Oklahoma City, OK
- NPI 1487887683
-
- Psychologist
- Oklahoma City, OK
- NPI 1134208085
-
- Clinical Psychologist
- Oklahoma City, OK
- NPI 1093808602
-
- Counseling Psychologist
- Oklahoma City, OK
- NPI 1194739102
-
- Clinical Psychologist
- Oklahoma City, OK
- NPI 1063589752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1982856548",
"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": "405-751-2605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W MEMORIAL",
"address_2": "SUITE 221",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73120",
"telephone_number": "405-755-5801",
"fax_number": "405-755-5949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEBASTIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-15",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "SEBASTIAN",
"authorized_official_first_name": "VERONIQUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-755-5801",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "20879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "800522305",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.