Individual provider Active NPI

Fariha Khan, M.D

  • Psychiatry Physician
  • Westampton, NJ
National Provider Identifier
1770878423
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA09635500 Issued in NJ
Practice address
Hampton Behavioral Health Center
650 Rancocas Road
Westampton, NJ 08060-5613
Phone
(609) 267-7000
Fax
(609) 518-2190
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X C7-0005025 DE
Psychiatry Physician 2084P0800X 25MA09635500 NJ Primary

Addresses

Primary practice location

Hampton Behavioral Health Center
650 Rancocas Road
Westampton, NJ 08060-5613

Mailing address

Hampton Behavioral Health Center
650 Rancocas Road
Westampton, NJ 08060-5613
Phone (609) 267-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151231000071 NJ Practitioner - Psychiatry 2860794252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Hampton IncGroup PAC ID 7911992912, 16 clinicians

Practice addresses (Care Compare)

650 Rancocas Rd
Westampton, NJ 08060-5613
Phone (609) 267-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C7-0005025DEMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hampton, Inc Psychiatry CurrentSince Nov 10, 2015 Accepting new patients
Uhs of Hampton Inc Family Medicine CurrentSince Nov 10, 2015 Accepting new patients
Uhs of Hampton Inc Past Accepting new patients

Locations

650 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1770878423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HAMPTON BEHAVIORAL HEALTH CENTER",
            "address_2": "650 RANCOCAS ROAD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605613",
            "telephone_number": "609-267-7000",
            "fax_number": "609-518-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HAMPTON BEHAVIORAL HEALTH CENTER",
            "address_2": "650 RANCOCAS ROAD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605613",
            "telephone_number": "609-267-7000",
            "fax_number": "609-518-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARIHA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DE",
            "license": "C7-0005025",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09635500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

Verify at the official NPI Registry.