Active NPI
Khalil Foundation
- Clinical Psychologist
- Rockford, IL
National Provider Identifier
1477414662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- KHALIL FOUNDATION
- Practice address
- 1946 Daimler Rd
Rockford, IL 61112-1008 - Phone
- (855) 554-2545
- NPI assigned
- Nov 19, 2025
- 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
- Mohsin Khan Khan, MD
- Title
- Owner/Managing Partner
- Phone
- (815) 980-9416
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
1946 Daimler Rd
Rockford, IL 61112-1008
Mailing address
998 N Lombard Rd
Lombard, IL 60148-1264
Phone (855) 554-2545
National Provider Directory
National Provider Directory- Tax ID family
- Khalil Foundation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Rockford, IL
- NPI 1770416596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1477414662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "998 N LOMBARD RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601481264",
"telephone_number": "855-554-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1946 DAIMLER RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611121008",
"telephone_number": "855-554-2545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHALIL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-19",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MOHSIN KHAN",
"authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
"authorized_official_telephone_number": "815-980-9416",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.