Pia Khandekar, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25910 Issued in CA

Practice address

2120 Alpine Blvd
Alpine, CA 91901-2113

Phone

(619) 722-7319

NPI assigned

Sep 3, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 16, 2024 through Dec 16, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Psychpro Consulting, PC

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1245045194
  NPD Authorized official

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1972938439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 ALPINE BLVD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012113",
            "telephone_number": "619-722-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ALPINE BLVD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012113",
            "telephone_number": "619-722-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDEKAR",
        "first_name": "PIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jane Jones, PHD, MSW
• Selcuk Adem Kahramanoglu
• Robert Keetch III, LMFT
• Joyce Patricia Kellawon, MD
• Dustin Hayes Kessler, AMFT, CADC-III
• Robert Frank Klemens, M.D.
• Arianna Farinelli Knowles, MA
• Susan Eunsoo Koh
• Matthew D. Kraemer, P.T.
• Ashlyn Marie Krantz, RN

• Clinical Psychologist in Alpine, CA
• Providers in Alpine, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.