S Khan Psychiatric Care Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35084372 Issued in OH

Legal business name

S KHAN PSYCHIATRIC CARE INC

Practice address

5604 Winding Cape Way
Mason, OH 45040-5032

Phone

(513) 339-0786

Fax

(513) 791-7800

NPI assigned

Jan 21, 2016

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sumera T Khan, MDNPI 1508051277

Title

President

Phone

(513) 339-0786

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sumera Tariq Khan, MD

  • Psychiatry Physician
  • Erlanger, KY
  • NPI 1508051277

  OH

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1508223520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 WINDING CAPE WAY",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450405032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 WINDING CAPE WAY",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450405032",
            "telephone_number": "513-339-0786",
            "fax_number": "513-791-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3936 Windy Hollow Way",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450404807",
            "country_code": "US",
            "telephone_number": "513-739-4916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "S KHAN PSYCHIATRIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SUMERA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-339-0786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35084372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jena Rutter
• Richard M Rutz, CNP
• Rudo Rwizi, RBT
• Ryan Macks, LLC
• Rayvin Ryles
• Saba a Chughtai LLC (Saba A Chughtai MD & Associates)
• Lisa M Sackett, MFT
• Joel Alan Saeks, D.C.
• Safespace Mental Health Services LLC
• Laura Vail Sage, LISW, LICDC

• Psychiatry Physician in Mason, OH
• Providers in Mason, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.