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KATHLYN A KHOUKAZ PSYD
NPI 1336520550
Psychologist - Rehabilitation in San Marcos, CA

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
711 CENTER DR # 105-7047, SAN MARCOS, CA 92069(760) 402-9103 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2023, Oct 21, 2020 (2 updates tracked since 2020).

About Kathlyn A Khoukaz Psyd NPPES

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

KATHLYN A KHOUKAZ PSYD (NPI 1336520550) is an individual rehabilitation provider in San Marcos, California, licensed in California (33541) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336520550
Entity TypeIndividualFemale
Primary Taxonomy103TR0400X
Provider Legal NameKATHLYN A KHOUKAZCredential: PSYD
Location Address711 CENTER DR # 105-7047San Marcos, CA 92069-3500
Mailing Address711 Center Dr # 105-7047San Marcos, CA 92069-3500 · (760) 462-5663
Phone(760) 402-9103
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 12, 2015
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1336520550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers
Taxonomy Code103TR0400X
License✔ Licensed in CA · 33541
Definition
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 3264 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
711 CENTER DR # 105-7047, San Marcos, CA 92069
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Secondary Practice Location 1

Location 110011 SE Division St Ste 202Portland, OR 97266 · Phone (503) 928-3998 · Fax (541) 868-2003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathlyn A Khoukaz Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456771831
PECOS Enrollment IDI20220609000667
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
355 services16 patients

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 Kathlyn Khoukaz's NPI number?

The NPI number for Kathlyn Khoukaz is 1336520550. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Kathlyn Khoukaz located?

Kathlyn Khoukaz practices at 711 Center Dr # 105-7047, San Marcos, CA 92069. The listed phone number is (760) 402-9103.

What is Kathlyn Khoukaz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

Is Kathlyn Khoukaz enrolled in Medicare?

Yes. Kathlyn Khoukaz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathlyn Khoukaz was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.