Khalsa Psychiatric Services - a Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KHALSA PSYCHIATRIC SERVICES - A NURSING CORPORATION

Practice address

103 N Hamilton St
Georgetown, KY 40324-9571

Phone

(323) 301-9652

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Sukh Dev Singh Khalsa, DNP, PMHNP-BC, RNNPI 1881978682

Title

President

Phone

(323) 301-9652

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sukh Dev Singh Khalsa, P.M.H.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, KY
  • NPI 1881978682

  KY, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1083457352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WOODDUCK LN",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249251",
            "telephone_number": "323-301-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N HAMILTON ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249571",
            "telephone_number": "323-301-9652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALSA PSYCHIATRIC SERVICES - A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "SUKH DEV SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-301-9652",
        "authorized_official_credential": "DNP, PMHNP-BC, RN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Larissa Briere Kern, MD
• April L Key, MSN, FNP-BC
• Sukh Dev Singh Khalsa, P.M.H.N.P.
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• Mark Allen King, DMD
• Terri Kingrey, APRN
• Kiosk Medicine Kentucky LLC

• All providers in Georgetown, KY
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.