Active NPI
Mai El-Khoury, PH.D.
- Clinical Psychologist
- Hoboken, NJ
National Provider Identifier
1467685099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35SI00521700
- Practice address
- 306 Washington St Ste 207
Hoboken, NJ 07030 - Phone
- (201) 918-0984
- NPI assigned
- Aug 31, 2009
- Last updated
- May 17, 2018
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018186 | NY | |
| Clinical Psychologist | 103TC0700X | 35SI00521700 | NJ | Primary |
Addresses
Primary practice location
306 Washington St Ste 207
Hoboken, NJ 07030
Mailing address
306 Washington St Ste 207
Hoboken, NJ 07030-5162
Phone (201) 918-0984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231121003471 | NJ | Order and Referring Only - Clinical Psychologist | 5092163584 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00521700 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1467685099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 WASHINGTON ST STE 207",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305162",
"telephone_number": "201-918-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 WASHINGTON ST STE 207",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "07030",
"telephone_number": "201-918-0984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-KHOURY",
"first_name": "MAI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018186",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00521700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.