Marjan Kalhori Khanjan, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30001 Issued in CA

Practice address

17401 Irvine Blvd Ste a
Tustin, CA 92780-3028

Phone

(949) 365-4865

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4

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.

• Balanced Health and Wellness, a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1942797873
  NPD
• Mellow Medical Inc a Professional Corporation

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1407275886
  NPD
• Hlca, Inc.

  • Psychiatry Physician
  • West Hollywood, CA
  • NPI 1437585882
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1275610552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28041 MARTINIQUE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925269",
            "telephone_number": "949-295-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 IRVINE BLVD STE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803028",
            "telephone_number": "949-365-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANJAN",
        "first_name": "MARJAN",
        "middle_name": "KALHORI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaldoun a Debian MD a Medical Corporation
• David Khalili, LMFT
• Aminah Khan
• Tariq A Khan, M.D.
• Smriti Khandelwal, M. S. CCC-SLP
• Sedigheh Khatami, DDS
• Eric Khau, MD
• Kim Khazeni, MSW
• Khoi Binh Nguyen Dental Corporation
• Christina Khouie, M.A.

• Clinical Psychologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.