Rachael Khanimova, MFT-INTERN

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2100 Middle Country Rd Ste 211B
Centereach, NY 11720-3553

Phone

(631) 372-9378

NPI assigned

Aug 13, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Open-Minded Marriage & Family Therapy, PLLC

  • Marriage & Family Therapist
  • Centereach, NY
  • NPI 1588411045
  NPD

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1184455859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MIDDLE COUNTRY RD STE 211B",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203553",
            "telephone_number": "631-372-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MIDDLE COUNTRY RD STE 211B",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203553",
            "telephone_number": "631-372-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANIMOVA",
        "first_name": "RACHAEL",
        "credential": "MFT-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Kaiser
• Karen a Nagle DMD PC
• Cynthia B Kealey, APRN BC PSYCH CLINIC
• Leighana Keefe, RN
• Patrick Keller, PTA
• Stewart Y Kim, D.D.S.
• Jodi Klein, PT
• Kurt Knoll, DPT
• Jasjit S Kochar, MD
• Jamie J Kochmann

• Student in an Organized Health Care Education/Training Program in Centereach, NY
• Providers in Centereach, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.