Active NPI
Saira Aslam Khan, PSY.D.
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1043658099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071009906
- Practice address
- 2919 N Southport Ave Apt 1
Chicago, IL 60657-7387 - Phone
- (773) 799-8939
- NPI assigned
- Jun 12, 2013
- Last updated
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071009906 | IL | Primary |
Addresses
Primary practice location
2919 N Southport Ave Apt 1
Chicago, IL 60657-7387
Mailing address
2919 N Southport Ave Apt 1
Chicago, IL 60657-7387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071009906 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighthouse Diagnostics, LLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
dba Brighthouse Diagnostics and Treatment Center
- Clinical Psychologist
- Chicago, IL
- NPI 1598221996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1043658099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2919 N SOUTHPORT AVE APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2919 N SOUTHPORT AVE APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606577387",
"telephone_number": "773-799-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SAIRA",
"middle_name": "ASLAM",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.