Kalman Khodik, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00554800 Issued in NJ

Practice address

763 River Rd FL 1
Teaneck, NJ 07666-1619

Phone

(888) 242-2732

Fax

(888) 242-2732

NPI assigned

Sep 3, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avita Psychological Care, PLLC

  dba Avita PsyCare

  • Clinical Psychologist
  • New York, NY
  • NPI 1851852545
  NPD Authorized official

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1598190050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 RIVER RD FL 1",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661619",
            "telephone_number": "888-242-2732",
            "fax_number": "888-242-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 RIVER RD FL 1",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661619",
            "telephone_number": "888-242-2732",
            "fax_number": "888-242-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODIK",
        "first_name": "KALMAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "021116",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00554800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Kessler
• Esther Kessler
• Erina Khadka Kunwar, MD
• Amelia Khalil, LCADC
• Sana Azizah Khan, RN
• Chaewon Kim
• Ji Sun Kim, PHARM. D
• Soo Kon Kim
• Sunyoung Kim
• Alexandru Filip Kimel, M.D.

• Clinical Psychologist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.