Faisal Y. Khan, Medical, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FAISAL Y. KHAN, MEDICAL, PLLC

Practice address

178 Columbus Ave
PO#237050
New York, NY 10023

Phone

(646) 481-8805

Fax

(646) 304-6562

NPI assigned

Aug 30, 2022

Organization subpart

No

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

Authorized official

Name

Faisal Yar Khan, MD, MPHNPI 1710391552

Title

Child & Adolescent Psychiatrist

Phone

(925) 719-0998

Specialties & licenses 1

Addresses

Other names 1

• Khan Collaborative Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faisal Yar Khan, MD

  • Psychiatry Physician
  • New York, NY
  • NPI 1710391552
  NPD Authorized official

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1932829058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 COLUMBUS AVE",
            "address_2": "PO BOX 237050",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "646-481-8805",
            "fax_number": "646-304-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 COLUMBUS AVE",
            "address_2": "PO#237050",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023",
            "telephone_number": "646-481-8805",
            "fax_number": "646-304-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAISAL Y. KHAN, MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "YAR",
        "authorized_official_title_or_position": "CHILD & ADOLESCENT PSYCHIATRIST",
        "authorized_official_telephone_number": "925-719-0998",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Khan Collaborative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Khan Collaborative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Alexander Fairclough I
• Spencer Lacy Fairgrieve, OD
• Stacyann Patricia Fairweather Wills
• Samantha Rose Fairweather
• Eugene Fais, RPH
• Rameen Faisal
• Faith Chiropractic, PC
• Faith Honor Support LCSW PLLC
• Faith Works Social Work Services PLLC
• Harry E. Faivus

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.