Tasleem Khan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017658 Issued in PA

Practice address

300 E Lancaster Ave
Suite 206
Wynnewood, PA 19096-2139

Phone

(267) 259-2268

NPI assigned

May 16, 2016

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1659728053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 N 64TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513127",
            "telephone_number": "267-259-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LANCASTER AVE",
            "address_2": "SUITE 206",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962139",
            "telephone_number": "267-259-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TASLEEM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Ketabchi, RD
• Shelby Marie Keyser, DO
• Amanulla Khaji
• Humza Khalid, MD
• Amid Khan, MD
• Tamer Khashab, M.D.
• Adnan Khoja, MD
• Soorena Khojasteh, MD
• Andrea Kirsch, CRNP
• Cullen Leeann Kisner, MD

• Clinical Psychologist in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.