Khmer Health Advocates, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

014898 Issued in CT

Legal business name

KHMER HEALTH ADVOCATES, INC.

Practice address

1125 New Britain Ave
Suite 202
West Hartford, CT 06110-2440

Phone

(860) 561-3345

Fax

(860) 561-3538

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Theanvy Kuoch, MA, LPC

Title

Executive Director

Phone

(860) 561-3345

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1134411614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NEW BRITAIN AVE",
            "address_2": "SUITE 202",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102420",
            "telephone_number": "860-561-3345",
            "fax_number": "860-561-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NEW BRITAIN AVE",
            "address_2": "SUITE 202",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102440",
            "telephone_number": "860-561-3345",
            "fax_number": "860-561-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHMER HEALTH ADVOCATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "KUOCH",
        "authorized_official_first_name": "THEANVY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-561-3345",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000638",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "014898",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "003364",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008035322",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerith Brook Counseling, LLC
• Arlene E Kerlin, MD
• Kevin Purviance DMD LLC
• KGM Transportation LLC
• Mujeeb Khalique, M.D.
• Doha Jamil Khoury, MSW LCSW
• Kievit Dental, PLLC
• Alyssa Kievit, DMD
• Robert Ernest Kievit, D.M.D.
• Mia S. Kim, LMFT

• Psychiatry Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.