Meera Khan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS019172 Issued in PA

Practice address

4950 York Rd Unit 2a
Holicong, PA 18928-5000

Phone

(267) 223-4833

NPI assigned

Nov 21, 2020

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dcp.meerakhan@141748.advancedmd-direct.com

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.

• Delaware County Professional Services, Inc

  dba LifeStance

  • Psychiatry Physician
  • Media, PA
  • NPI 1952485864
  Medicare reassignment NPD

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1144823055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 YORK RD UNIT 2A",
            "city": "HOLICONG",
            "state": "PA",
            "postal_code": "189285000",
            "telephone_number": "267-223-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 YORK RD UNIT 2A",
            "city": "HOLICONG",
            "state": "PA",
            "postal_code": "189285000",
            "telephone_number": "267-223-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 N Bethlehem Pike Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lower Gwynedd",
            "state": "PA",
            "postal_code": "190022655",
            "country_code": "US",
            "telephone_number": "610-234-0067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 S 17th St Lbby 101",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191036205",
            "country_code": "US",
            "telephone_number": "267-223-4833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MEERA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barc
• Barc
• Barc Developmental Services, Inc
• James Anthony Crugnale, RPH
• Jennifer Cutler, LSW
• Kristin A. Kwak, M.S., R.D., L.D.N.
• Janet Lee Leiby, DPT
• Makk Medix LLC (Whitman Pharmacy)
• Makk Medix LLC
• Jesse P Rothgaber, M.ED

• Clinical Psychologist in Holicong, PA
• Providers in Holicong, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.