Active NPI
Khalil R Rahmany, PHD
- Clinical Psychologist
- Newark, CA
National Provider Identifier
1780729236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY15853
- Practice address
- 39676 Cedar Blvd
Suite 240a
Newark, CA 94560 - Phone
- (510) 445-1015
- Fax
- (510) 445-1035
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY15853 | CA | Primary |
Addresses
Primary practice location
39676 Cedar Blvd
Suite 240a
Newark, CA 94560
Mailing address
PO Box 157
Concord, CA 94522
Phone (510) 445-1015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100309000263 | CA | Practitioner - Psychologist Billing Independently | 6305981895 | Practice locations: Newark, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
39675 Cedar Blvd
Newark, CA 94560-8540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15853 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1780729236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "CONCORD",
"state": "CA",
"postal_code": "94522",
"telephone_number": "510-445-1015",
"fax_number": "510-445-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39676 CEDAR BLVD",
"address_2": "SUITE 240A",
"city": "NEWARK",
"state": "CA",
"postal_code": "94560",
"telephone_number": "510-445-1015",
"fax_number": "510-445-1035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMANY",
"first_name": "KHALIL",
"middle_name": "R",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2021-06-02",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY15853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.