Henry Christopher Koehn, PH.D., MSCP

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

PSY-2023-0072 Issued in NM

Practice address

195 East Rd Ste 104
Los Alamos, NM 87544-4301

Phone

(505) 412-7756

NPI assigned

Jul 27, 2023

Sex

Male

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

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.

• North Star Psychiatric Services LLC

  • Psychologist
  • Los Alamos, NM
  • NPI 1245945716
  NPD
• North Star Psychiatric Services, LLC

  • Child & Adolescent Psychiatry Physician
  • Los Alamos, NM
  • NPI 1316391063

  Prescribing (Medical)

  NPD

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1982385472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CANYON VW",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442876",
            "telephone_number": "505-500-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EAST RD STE 104",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444301",
            "telephone_number": "505-412-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "HENRY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NM",
            "license": "0923",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "PSY-2023-0072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Dental Partners, LLC
• Kim Walker Therapy LLC
• James Gordon Knight, M.D.
• Stephanie Koch, LPCC
• Steven Koch, M.A., LPCC
• Mackenzie Koppi
• Jacqueline Anne Krohn, MD MPH
• Donald James Lacy, D.O.
• Aparimita Lahiri, MBBS/M.D.
• Las Clinicas del Norte Incorporated

• Prescribing (Medical) Psychologist in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Prescribing (Medical) Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.