Sam Khorrami, PH.D., PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S10041560 Issued in NJ

Legal business name

SAM KHORRAMI, PH.D., PC

Practice address

328 Commons Way
Building C
Toms River, NJ 08755

Phone

(732) 278-5615

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Sam Khorrami, PH.D.NPI 1235224155

Title

President

Phone

(732) 278-5615

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sam Khorrami, PH.D.

  • Clinical Psychologist
  • Toms River, NJ
  • NPI 1235224155
  Medicare reassignment Care Compare group NPD Authorized official
• Judith M. Kern, APNC

  • Family Nurse Practitioner
  • Toms River, NJ
  • NPI 1194870816
  Medicare reassignment Care Compare group NPD
• Angela Lucia Hall, PSY.D.

  • Psychologist
  • Toms River, NJ
  • NPI 1033128343
  NPD (past)
• Stephanie K. Patten, PHD

  • Psychologist
  • Toms River, NJ
  • NPI 1568482727
  NPD (past)
• Roger Thomas Raftery, PH.D.

  • Forensic Psychologist
  • Sea Girt, NJ
  • NPI 1922143627

  Clinical

  NPD (past)
• Paulina Olech, LPC

  • Professional Counselor
  • San Diego, CA
  • NPI 1770841447
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689766974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "08730",
            "telephone_number": "732-278-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 COMMONS WAY",
            "address_2": "BUILDING C",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-278-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM KHORRAMI, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHORRAMI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-278-5615",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S10041560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marthin Maverick Coronado Sales
• Barbara H. Salkewicz, M.A., LPC
• Dana Salsano, MA CCC-SLP
• Danielle Salvo, RD
• Todd Ronald Salvo, P.T.
• Samir Jain MD PC
• Vinod Sancheti, M.D
• Sand Path Counseling LLC
• Sand Path Counseling LLC
• Sand Path Counseling LLC

• Clinical Psychologist in Toms River, NJ
• Providers in Toms River, 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 22, 2020; 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.