Mikael Khachatryan, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15268900 Issued in NJ

Practice address

20 Commerce Dr Ste 135
Cranford, NJ 07016-3614

Phone

(732) 808-8414

Fax

(732) 284-3622

NPI assigned

Mar 10, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Insite Medical NJ PAGroup PAC ID 8022487743, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26749/brand/1/csg/1/fhir/r4

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.

• Insite Medical NJ PA

  • Behavioral Neurology & Neuropsychiatry Physician
  • Marlton, NJ
  • NPI 1538807011

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Vitalize Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cranford, NJ
  • NPI 1912706490
  NPD Authorized official
• Insite Medical NJ PA

  • Adolescent and Children Mental Health Clinic/Center
  • Marlton, NJ
  • NPI 1518716570
  NPD

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1922807403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR STE 135",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163614",
            "telephone_number": "732-808-8414",
            "fax_number": "732-284-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE DR STE 135",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163614",
            "telephone_number": "732-808-8414",
            "fax_number": "732-284-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHATRYAN",
        "first_name": "MIKAEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15268900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keating Physical Therapy, LLC
• Karyn Virginia Keating, DPT
• Marianne Kehoe, LCSW
• Lindsay Keller
• Kimberly Ann Kessler, PT
• Neelam Khadke, M.D
• Marcy Kielczynski, MSW, LCSW
• Jaclyn Kirdahy, MA, CCC-SLP
• Kenneth Kurt Konegen, DDS
• Janusz S Kornicki, MD

• Psychiatric/Mental Health Nurse Practitioner in Cranford, NJ
• Providers in Cranford, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.