Individual provider Active NPI

Sacha Khaloyan, OTR/L

  • Mental Health Occupational Therapist
  • New York, NY
National Provider Identifier
1710299011
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
016183 Issued in NY
Practice address
340 E 24TH St
New York, NY 10010-4019
Phone
(212) 585-6115
NPI assigned
Jul 2, 2010
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational Therapist 225XM0800X 016183 NY Primary

Addresses

Primary practice location

340 E 24TH St
New York, NY 10010-4019

Mailing address

200 Old Palisade Rd
Apartment 22B
Fort Lee, NJ 07024-7056
Phone (201) 575-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016183NYMDMental Health Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1710299011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD PALISADE RD",
            "address_2": "APARTMENT 22B",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247056",
            "telephone_number": "201-575-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 24TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104019",
            "telephone_number": "212-585-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALOYAN",
        "first_name": "SACHA",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NY",
            "license": "016183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.