Organization Active NPI

KHP Medical PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
National Provider Identifier
1083350771
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KHP MEDICAL PC
Practice address
111 5TH Ave
New York, NY 10003-1005
Phone
(607) 289-3684
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Jnee Hill, LCSW
Title
Clinical Director
Phone
(607) 289-3684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

111 5TH Ave
New York, NY 10003-1005

Mailing address

111 5TH Ave
New York, NY 10003-1005

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://mywellbeing.com/
Other URL https://mywellbeing.com/

National Provider Directory

National Provider Directory

Locations

111 5th Ave
New York, NY 10003
Phone (607) 289-3684

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1083350771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031005",
            "telephone_number": "607-289-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHP MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JNEE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "607-289-3684",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mywellbeing.com/",
            "affiliation": "N",
            "address_1": "111 5th Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100031005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mywellbeing.com/",
            "affiliation": "N",
            "address_1": "111 5th Ave",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100031005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.