Philippe J. Khouri, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA04880000 Issued in NJ

Practice address

905 Herrontown Rd
Princeton House Behavioral Health
Princeton, NJ 08540-1901

Phone

(609) 497-3300

Fax

(609) 497-3370

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Capital Health System

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1265480081

  Psychiatry

  NPD (past)
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  • Psychiatric Hospital Unit
  • Princeton, NJ
  • NPI 1518009588
  NPD (past)
• Woods Psychotherapy Services LLC

  • Clinical Psychologist
  • Pennington, NJ
  • NPI 1790730901

  Psychiatry

  NPD (past)
• Woods Psychotherapy Services, LLC

  • Clinical Social Worker
  • Pennington, NJ
  • NPI 1841243854
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689768830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 US HIGHWAY 1",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405922",
            "telephone_number": "609-243-0445",
            "fax_number": "609-452-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HERRONTOWN RD",
            "address_2": "PRINCETON HOUSE BEHAVIORAL HEALTH",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401901",
            "telephone_number": "609-497-3300",
            "fax_number": "609-497-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURI",
        "first_name": "PHILIPPE",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA04880000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0686000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ketamine Treatment Centers of Princeton, LLC
• Jay Ketkar
• Furheen Khan
• Dina Khaneles, PA-C
• Madhurani Khare, M.D.
• Therese C Kichuk, MD
• Kidz Can Corporation
• Vincent Gerard Kiechlin, DC, DACNB
• Stephen M Killian, PA-C
• Cindy S Kim

• All providers in Princeton, NJ
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.