Active NPI
Sara Nasir Khan, PSY.D.
- Psychologist
- Park Ridge, IL
National Provider Identifier
1750914289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 32 Main St Ste D
Park Ridge, IL 60068-4060 - Phone
- (847) 823-4444
- NPI assigned
- Feb 12, 2020
- Last updated
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
32 Main St Ste D
Park Ridge, IL 60068-4060
Mailing address
5409 Harvard Ter
Skokie, IL 60077-2751
Phone (414) 349-0201
Other practice location 1
5409 Harvard Ter
Skokie, IL 60077-2751
Phone (414) 349-0201
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J. Athans, PH.D. and Associates, LTD. | Single Specialty | Current | Accepting new patients |
Locations
32 Main St
Ste D
Park Ridge, IL 60068
Phone (847) 823-4444
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Park Ridge, IL
- NPI 1235100140
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1750914289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5409 HARVARD TER",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600772751",
"telephone_number": "414-349-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 MAIN ST STE D",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684060",
"telephone_number": "847-823-4444"
}
],
"practiceLocations": [
{
"address_1": "5409 Harvard Ter",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600772751",
"country_code": "US",
"telephone_number": "414-349-0201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "SARA",
"middle_name": "NASIR",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.