Active NPI
Donna Khoury, PSYD
- Clinical Psychologist
- Ypsilanti, MI
National Provider Identifier
1164960787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301016945
- Practice address
- 135 S Prospect St
Ypsilanti, MI 48198-7914 - Phone
- (734) 961-3030
- NPI assigned
- Feb 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401013275 | MI | |
| Clinical Psychologist | 103TC0700X | 6301016945 | MI | Primary |
Addresses
Primary practice location
135 S Prospect St
Ypsilanti, MI 48198-7914
Mailing address
135 S Prospect St
Ypsilanti, MI 48198-7914
Phone (734) 961-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013275 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1164960787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S PROSPECT ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481987914",
"telephone_number": "734-961-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S PROSPECT ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481987914",
"telephone_number": "734-961-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "DONNA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401013275",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301016945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.