Hiba Khan, MA-MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

26 Katherine St
Port Jefferson Station, NY 11776-1710

Phone

(631) 245-0416

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1326768979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 KATHERINE ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 KATHERINE ST",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761710",
            "telephone_number": "631-245-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HIBA",
        "credential": "MA-MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MBSMFT.com",
            "affiliation": "N",
            "address_1": "26 Katherine St",
            "city": "Port Jefferson Station",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117761710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frank John Kershis, PT, COMT
• David Kessler
• Howard Kessler, O.D.
• Laura Pavel Ketelsen, CRNA
• Karin Marie Keyes, LCSW
• Zarlasht Khan
• Kid Smiles Pediatric Dentistry of Port Jefferson Station PLLC
• Kids First Pediatrics, PC
• Kim Lehnert, Psychology, PH.D., PLLC
• Jamey Kim

• Marriage & Family Therapist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.