Tania A. Khan, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

022775 Issued in NY

Practice address

623 New Loudon Rd
Latham, NY 12110-4031

Phone

(518) 704-4250

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1962830927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541710",
            "telephone_number": "518-330-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121104031",
            "telephone_number": "518-704-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TANIA",
        "middle_name": "A.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "022775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtis L Kennedy, MBA, MSL
• Rene Lynn Kerner, FNP
• Abdul S. Khan, MD
• Dastagir Alam Khan, MD
• Saad Khan, D.O
• Audrey M. Kiernan, CRNA
• Michelle Lee Kiernozek, OTR/L
• Jennifer Lynn Kilinski, MT-BC, NICU-MT, LCAT
• Kyle Erick Kilts, LCSW-R
• Myung Hyo Kim, MD

• Counseling Psychologist in Latham, NY
• Providers in Latham, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.