Sam Khorrami, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S10041560 Issued in NJ

Practice address

328 Commons Way
Building C
Toms River, NJ 08755-6428

Phone

(732) 278-5615

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 NJ

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sam Khorrami, PH.D., PCGroup PAC ID 0648249888, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sam Khorrami, PH.D., PC

  • Clinical Psychologist
  • Toms River, NJ
  • NPI 1689766974
  Medicare reassignment Care Compare group NPD Authorized official
• Beach Counseling, LLC

  • Clinical Social Worker
  • Sea Girt, NJ
  • NPI 1356711527
  NPD (past)
• Dover Family Therapy

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1841472545
  NPD (past)
• Holly C. Gaul, L.L.C.

  • Clinical Social Worker
  • Sea Girt, NJ
  • NPI 1013066562
  NPD (past)
• Vericare Behavioral Health of New Jersey, P.a.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1669408274
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235224155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087300269",
            "telephone_number": "732-278-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 COMMONS WAY",
            "address_2": "BUILDING C",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556428",
            "telephone_number": "732-278-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORRAMI",
        "first_name": "SAM",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S10041560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahzaib Khan, MD
• Usman Khan
• Michael Khaykin, MD
• Ami Khetani, DMD
• Cyrus Khorrami, M.D.
• Frank John Killian, DPM
• Kim Fallon, Apn, LLC
• Kim Lambert Counseling Services, LLC (Kim Lambert Counseling Services)
• Brian H Kim, MD
• Joonha Josiah Kim

• Clinical Psychologist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.