Active NPI
Maureen W Khalil, MD
- Psychiatry Physician
- Jeffersonville, IN
National Provider Identifier
1881742229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01053319A
- Practice address
- 460 Spring St
Jeffersonville, IN 47130-3452 - Phone
- (812) 280-2080
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01053319A | IN | Primary |
Addresses
Primary practice location
460 Spring St
Jeffersonville, IN 47130-3452
Mailing address
6 Charlestown CT
Jeffersonville, IN 47130-8248
Phone (812) 280-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200323210A | Medicaid | IN |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01053319A | IN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1881742229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 CHARLESTOWN CT",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471308248",
"telephone_number": "812-280-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303452",
"telephone_number": "812-280-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "MAUREEN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01053319A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200323210A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jeffersonville, IN
- Kentuckiana Non-Emergency Medical Transportation
- Kentuckiana Premier PST Center, LLC
- Kentucky Orthopedic Rehabilitation LLC
- Brenda Kepley-Blum, LMHC
- Carly Elizabeth Kessinger
- Mashiur Rahman Khan, M.D.
- Kidney Doctors of Kentuckiana PLLC
- Kids Dentistry-Jeffersonville, LLC
- Jenna Kietzman, OTD, OTR
- Kim Sickels Nurse Practitioner, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.