Active NPI
Simin Samie Khalajabadi, PH.D.
- Counseling Psychologist
- Galveston, TX
National Provider Identifier
1205151008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 32951
- Practice address
- 301 University Blvd
University of Texas Medical Branch/Som- Student Affairs
Galveston, TX 77555-0817 - Phone
- (409) 772-6503
- NPI assigned
- Apr 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 32951 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
University of Texas Medical Branch/Som- Student Affairs
Galveston, TX 77555-0817
Mailing address
301 University Blvd
University of Texas Medical Branch/Som- Student Affairs
Galveston, TX 77555-0817
Phone (409) 772-6503
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32951 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1205151008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"address_2": "UNIVERSITY OF TEXAS MEDICAL BRANCH/SOM- STUDENT AFFAIRS",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550817",
"telephone_number": "409-772-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"address_2": "UNIVERSITY OF TEXAS MEDICAL BRANCH/SOM- STUDENT AFFAIRS",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550817",
"telephone_number": "409-772-6503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMIE KHALAJABADI",
"first_name": "SIMIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "32951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.