Nadine Khoury, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016613 Issued in NY

Practice address

10 Grace Ave
Suite 12D
Great Neck, NY 11021-2423

Phone

(718) 813-1409

NPI assigned

Apr 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1487970968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRACE AVE",
            "address_2": "SUITE 12D",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212423",
            "telephone_number": "718-813-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRACE AVE",
            "address_2": "SUITE 12D",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212423",
            "telephone_number": "718-813-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "NADINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivdev Khera, DPT
• Michael Kho, DO
• Daniel K Khodadadian, MD
• Berta Kholdarova, FNP
• David Yitzchak Khorsandi, LMSW
• Kids First Spectrum Services Inc.
• Kids First Spectrum Services, Inc
• Kidscare Speech Therapy, LLC
• Kidz Kare of Great Neck LLP
• Savannah Kile, MS

• Clinical Psychologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.

Verify at the official NPI Registry.