Elia Khalaf

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1152 N University Dr
Pembroke Pines, FL 33024-5000

Phone

(954) 639-7345

NPI assigned

Nov 11, 2019

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1669017927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 NE 10TH PL",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331382103",
            "telephone_number": "305-764-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245000",
            "telephone_number": "954-639-7345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 NW 165th Street Rd # 100",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331696306",
            "country_code": "US",
            "telephone_number": "786-657-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "ELIA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-11",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Joseph Kennedy, O.D.
• Christina Kerns, CRNA
• Joseph A Kesselman, O.D.
• Leonard Paul Kessler
• Jessica Ketterer, PH.D.
• Yaser Sorosh Khalid, DO
• Aneesa Khan, PHARMD
• Carmencita Khan
• Cheryl Lynn Khan, LCSW
• Samara Khan, MD

• Mental Health Counselor in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.