Active NPI
Kholud Noor Helou, MFT, PSY.D.
- Psychologist
- San Dimas, CA
National Provider Identifier
1407953474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY23698
- Practice address
- 1305 W Arrow Hwy
Ste 204
San Dimas, CA 91773-2338 - Phone
- (909) 482-4444
- NPI assigned
- Sep 20, 2006
- Last updated
- Oct 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY23698 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MFC38277 | CA |
Addresses
Primary practice location
1305 W Arrow Hwy
Ste 204
San Dimas, CA 91773-2338
Mailing address
1305 W Arrow Hwy
Ste 204
San Dimas, CA 91773-2338
Phone (909) 482-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23698 | CA | MD | Psychologist |
| MFC38277 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helou Psychological Services Inc | Current | Accepting new patients |
Locations
1305 W Arrow Hwy
Ste 204
San Dimas, CA 91773
Phone (626) 780-1061
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- San Dimas, CA
- NPI 1841808623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1407953474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 W ARROW HWY",
"address_2": "STE 204",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732338",
"telephone_number": "909-482-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 W ARROW HWY",
"address_2": "STE 204",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732338",
"telephone_number": "909-482-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELOU",
"first_name": "KHOLUD",
"middle_name": "NOOR",
"credential": "MFT, PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY23698",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC38277",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.