Experience Mental and Behavioral Health, Inc

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

EXPERIENCE MENTAL AND BEHAVIORAL HEALTH, INC

Practice address

12130 Victory Blvd
Suite a
North Hollywood, CA 91606

Phone

(888) 264-6168

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Adnan Elias Khoury, MDNPI 1023101888

Title

Psychiatrist/President/Ceo

Phone

(818) 421-4871

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adnan Elias Khoury, MD

  • Psychiatry Physician
  • Sun Valley, CA
  • NPI 1023101888

  Addiction Medicine

  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1235952649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12130 VICTORY BLVD",
            "address_2": "SUITE A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12130 VICTORY BLVD",
            "address_2": "SUITE A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "888-264-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE MENTAL AND BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "PSYCHIATRIST/PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-421-4871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Psychiatry & Neurology) Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.