Individual provider Active NPI

Manjit Kaur Khalsa, ED.D.

  • Counseling Psychologist
  • Millis, MA
National Provider Identifier
1104965847
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1715 Issued in NM
Practice address
166 Village St
Millis, MA 02054-1730
Phone
(508) 376-8104
NPI assigned
Feb 6, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1715 NM Primary
Psychologist 103T00000X 3142 MA
Group Psychotherapy Psychologist 103TP2701X 3142 MA

Addresses

Primary practice location

166 Village St
Millis, MA 02054-1730

Mailing address

166 Village St
Millis, MA 02054-1730
Phone (508) 376-8104

Other identifiers 1

IdentifierTypeStateIssuer
3142OtherMASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080903000278 MA Practitioner - Clinical Psychologist 5890861553 Reassigns benefits to 2 organizations
Practice locations: Millis, MA; Wellesley, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Handel Behavioral Health Services IncGroup PAC ID 6305285289, 24 clinicians

Practice addresses (Care Compare)

635 Washington St
Franklin, MA 02038-3365
Phone (413) 343-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1715NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Handel Behavioral Health Services Inc CurrentSince Jan 6, 2025 Accepting new patients
A Mind Renewed Current Accepting new patients

Locations

21 Pray St
Amherst, MA 01002
Phone (413) 343-4357

2 Master Dr
Franklin, MA 02038
Phone (401) 837-2620

2 Master Dr
Ste 1A
Franklin, MA 02038
Phone (617) 360-7210

51 Capital Dr
West Springfield, MA 01089
Phone (413) 343-4357

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104965847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 VILLAGE ST",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541730",
            "telephone_number": "508-376-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 VILLAGE ST",
            "city": "MILLIS",
            "state": "MA",
            "postal_code": "020541730",
            "telephone_number": "508-376-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "MANJIT",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-11",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "1715",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "3142",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MA",
            "license": "3142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3142",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millis, MA

Sources for this page

Verify at the official NPI Registry.