Samin Khallaghi, PH.D., NCSP

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

68-P146124-01 Issued in NY

Practice address

1 Chase Rd Ste 203
Scarsdale, NY 10583-4160

Phone

(914) 901-3520

NPI assigned

Sep 21, 2026

Sex

Female

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

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1679485981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHASE RD STE 203",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHASE RD STE 203",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834160",
            "telephone_number": "914-901-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALLAGHI",
        "first_name": "SAMIN",
        "name_prefix": "Dr.",
        "credential": "PH.D., NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "68-P146124-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student in an Organized Health Care Education/Training Program in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.