Active NPI
Khan Interstellar Psychology and Consulting
- Clinical Psychologist
- Berkeley Lake, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- KHAN INTERSTELLAR PSYCHOLOGY AND CONSULTING
- Practice address
- 3301 N Berkeley Lake Rd NW FL 1
Berkeley Lake, GA 30096-3187 - Phone
- (770) 331-4882
- NPI assigned
- Jan 7, 2026
- Last updated
- Jan 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Humama Khan, PHD
- Title
- Ceo
- Phone
- (843) 566-5841
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
3301 N Berkeley Lake Rd NW FL 1
Berkeley Lake, GA 30096-3187
Mailing address
202 Misty Grove Dr
Loganville, GA 30052-9054
Phone (843) 566-5841
National Provider Directory
National Provider DirectoryLocations
3301 N Berkeley Lake Rd NW
Fl 1
Berkeley Lake, GA 30096
Phone (470) 657-2991
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Loganville, GA
- NPI 1467169375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767744000000",
"number": "1316804750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 MISTY GROVE DR",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300529054",
"telephone_number": "843-566-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 N BERKELEY LAKE RD NW FL 1",
"city": "BERKELEY LAKE",
"state": "GA",
"postal_code": "300963187",
"telephone_number": "770-331-4882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHAN INTERSTELLAR PSYCHOLOGY AND CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-07",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "HUMAMA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-566-5841",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley Lake, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.