Active NPI
Neha Khorana, PHD
- Clinical Psychologist
- Macon, GA
National Provider Identifier
1801319447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY004104
- Practice address
- 250 Martin Luther King Jr Blvd
Macon, GA 31201-3490 - Phone
- (478) 301-4111
- NPI assigned
- Jul 25, 2017
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY004104 | GA | Primary |
Addresses
Primary practice location
250 Martin Luther King Jr Blvd
Macon, GA 31201-3490
Mailing address
250 Martin Luther King Jr Blvd
Macon, GA 31201-3490
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500940800000",
"number": "1801319447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MARTIN LUTHER KING JR BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "312013490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MARTIN LUTHER KING JR BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "312013490",
"telephone_number": "478-301-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHORANA",
"first_name": "NEHA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2017-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY004104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.