AMANDA J. KHAN PHD
NPI 1225438708
Psychologist - Clinical in San Diego, CA

Active since September 03, 2014
501 W BROADWAY STE A587, SAN DIEGO, CA 92101(619) 273-0129 Get Directions Write a Review

NPPES record last updated: April 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda J. Khan Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA J. KHAN PHD (NPI 1225438708) is an individual clinical provider in San Diego, California, licensed in California (PSY32361) and active in the NPI registry since September 2014. She maintains a secondary practice location in West Roxbury.

NPPES Registry Identity

NPI1225438708
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAMANDA J. KHANCredential: PHD
Location Address501 W BROADWAY STE A587San Diego, CA 92101-3536
Mailing Address501 W Broadway Ste A587San Diego, CA 92101-3536 · (619) 273-0129
Sole ProprietorYes
Enumeration DateSeptember 3, 2014
Last NPPES UpdateApril 25, 2021
NPPES CertifiedApril 25, 2021
NPI 1225438708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY32361
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
501 W BROADWAY STE A587, San Diego, CA 92101

Secondary Practice Location 1

Location 12020 Centre StWest Roxbury, MA 02132-3316 · Phone (617) 325-6700

Other Identifiers 1

Medicaid110026265EMA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Khan's NPI number?

The NPI number for Amanda Khan is 1225438708. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Where is Amanda Khan located?

Amanda Khan practices at 501 W Broadway Ste A587, San Diego, CA 92101. The listed phone number is (619) 273-0129.

What is Amanda Khan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Amanda Khan was last updated on April 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.