Active NPI
Khadijah Norman
- School Psychologist
- New Windsor, NY
National Provider Identifier
1831704568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2853711
- Practice address
- 930 Raz Ave
New Windsor, NY 12553-4705 - Phone
- (845) 248-5795
- NPI assigned
- Sep 10, 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2853711 | NY | Primary |
Addresses
Primary practice location
930 Raz Ave
New Windsor, NY 12553-4705
Mailing address
835 Blooming Grove Tpke Apt 65
New Windsor, NY 12553-8128
Phone (845) 248-5795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2853711 | Other | NY | SCHOOL PSYCHOLOGY CERTIFICATION NY STATE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2853711 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1831704568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 BLOOMING GROVE TPKE APT 65",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125538128",
"telephone_number": "845-248-5795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 RAZ AVE",
"city": "NEW WINDSOR",
"state": "NY",
"postal_code": "125534705",
"telephone_number": "845-248-5795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "KHADIJAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "2853711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOL PSYCHOLOGY CERTIFICATION NY STATE",
"identifier": "2853711",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Windsor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.