Maryam Khodaeikalaki

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6301 E 41St St
Tulsa, OK 74135-6103

Phone

(918) 289-0550

NPI assigned

Jun 14, 2011

Sex

Female

Sole proprietor

Yes

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.

• Maryam Khodaeikalaki Professional Clinical Counselor PC

  • Mental Health Counselor
  • Calabasas, CA
  • NPI 1245967207

  Mental Health

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2011.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1811282239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356103",
            "telephone_number": "918-289-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356103",
            "telephone_number": "918-289-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODAEIKALAKI",
        "first_name": "MARYAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jihad Khattab, MD
• Mohamad H Khattab, D.O.
• Danish Kherani, MD, MBBS
• Aleena Khichi
• Mahmood Hussain Khichi, M.D.
• Keith Hoe Peng Khoo, PT
• Si Yuan Khor, MD
• Yasser M Khorchid, M.D.
• Zhamak Khorgami, M.D.
• Farzaneh Khorramdel, PHARMD

• All providers in Tulsa, OK
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.