NPIMap

Organization Active NPI

Khan Psychiatry LLC

  • Neurology Physician
  • Baton Rouge, LA
National Provider Identifier
1245601988
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
KHAN PSYCHIATRY LLC
Practice address
778 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone
(225) 995-3825
Fax
(504) 264-5590
NPI assigned
Oct 7, 2015
Last updated
Sep 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Authorized official

Name
Karol McKinley, OFFICE MANAGER
Title
Designated Agent
Phone
(985) 781-0548

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

778 Chevelle Dr
Baton Rouge, LA 70806-6503

Mailing address

778 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone (225) 995-3825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210713001486 LA Part B Supplier - Clinic/Group Practice 7517369549 Receives reassigned benefits from 8 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1245601988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 CHEVELLE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066503",
            "telephone_number": "225-995-3825",
            "fax_number": "504-264-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 CHEVELLE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066503",
            "telephone_number": "225-995-3825",
            "fax_number": "504-264-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAN PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "KAROL",
        "authorized_official_title_or_position": "DESIGNATED AGENT",
        "authorized_official_telephone_number": "985-781-0548",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.