Sukh Dev Singh Khalsa, P.M.H.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

21223 Issued in CA

Practice address

103 N Hamilton St Ste 123
Georgetown, KY 40324-1705

Phone

(859) 340-3500

Fax

(859) 340-3506

NPI assigned

Sep 28, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Khalsa Psychiatric Services - a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, KY
  • NPI 1083457352

  KY, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Riverside Psychiatric Medical Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverside, CA
  • NPI 1972691228

  CA

  Medicare reassignment Care Compare group NPD

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Riverside Psychiatric Medical Group 8 clinicians

Practice addresses (Care Compare)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1881978682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 BROCKTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061858",
            "telephone_number": "951-275-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N HAMILTON ST STE 123",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241705",
            "telephone_number": "859-340-3500",
            "fax_number": "859-340-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5887 Brockton Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925061858",
            "country_code": "US",
            "telephone_number": "951-275-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "SUKH DEV SINGH",
        "name_prefix": "Mr.",
        "credential": "P.M.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "21223",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4001615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kentucky Orthopaedics & Spine PLLC
• Kentucky Orthopedic Rehabilitation LLC
• Larissa Briere Kern, MD
• April L Key, MSN, FNP-BC
• Khalsa Psychiatric Services - a Nursing Corporation
• Kids Dentistree of Ky LLC
• Mark Allen King, DMD
• Terri Kingrey, APRN
• Kiosk Medicine Kentucky LLC
• Makayla Ann Kiser, D.O.

• All providers in Georgetown, KY
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.