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KHALIL PSYCHOLOGICAL SERVICES
NPI 1639064082
Psychologist - Clinical in Fort Wayne, IN

Active since June 09, 2025
124 W SUPERIOR ST UNIT 659, FORT WAYNE, IN 46802(260) 217-4384 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Khalil Psychological Services NPPES

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

KHALIL PSYCHOLOGICAL SERVICES (NPI 1639064082) is a healthcare organization registered as a clinical in Fort Wayne, Indiana and active in the NPI registry since June 2025. The organization lists Amani Khalil, Owner, as its authorized official.

NPPES Registry Identity

NPI1639064082
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameKHALIL PSYCHOLOGICAL SERVICES
Location Address124 W SUPERIOR ST UNIT 659Fort Wayne, IN 46802-1259
Mailing Address124 W Superior St Unit 659Fort Wayne, IN 46802-1259
Phone(260) 217-4384
Organization SubpartNo
Authorized OfficialAmani KhalilOwner · (260) 217-4384
Enumeration DateJune 9, 2025
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1639064082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
124 W SUPERIOR ST UNIT 659, Fort Wayne, IN 46802
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Khalil Psychological Services's NPI number?

The NPI number for Khalil Psychological Services is 1639064082. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Khalil Psychological Services located?

Khalil Psychological Services is located at 124 W Superior St Unit 659, Fort Wayne, IN 46802. The listed phone number is (260) 217-4384.

What is Khalil Psychological Services'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 Khalil Psychological Services was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.