1. Home
  2. Directory
  3. New Jersey
  4. Toms River
  5. Psychologist
  6. NPI Profile

SAM KHORRAMI, PH.D., PC
NPI 1689766974
Psychologist - Clinical in Toms River, NJ

Active since September 28, 2006
328 COMMONS WAY, BUILDING C, TOMS RIVER, NJ 08755(732) 278-5615 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sam Khorrami, Ph.d., Pc NPPES

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

SAM KHORRAMI, PH.D., PC (NPI 1689766974) is a healthcare organization registered as a clinical in Toms River, New Jersey and active in the NPI registry since September 2006. The organization lists Sam Khorrami, President, as its authorized official.

NPPES Registry Identity

NPI1689766974
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSAM KHORRAMI, PH.D., PC
Location Address328 COMMONS WAY, BUILDING CToms River, NJ 08755
Mailing AddressPo Box 269Brielle, NJ 08730 · (732) 278-5615
Phone(732) 278-5615
Organization SubpartNo
Authorized OfficialSam KhorramiPresident · (732) 278-5615
Enumeration DateSeptember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689766974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · 35S10041560
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.
328 COMMONS WAY, Toms River, NJ 08755
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam Khorrami, Ph.d., Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sam Khorrami, Ph.D., PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Judith Kern, APNC
Certified Clinical Nurse Specialist (CNS)
NPI 1194870816
328 COMMONS WAY BLDG C
Toms River, NJ 08755
(732) 240-7111
✔ PECOS✔ Accepts MedicareSame address
Sam Khorrami, PH.D.
Clinical Psychologist
NPI 1235224155
328 COMMONS WAY BUILDING C
Toms River, NJ 08755
(732) 278-5615
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sam Khorrami, Ph.D., PC's NPI number?

The NPI number for Sam Khorrami, Ph.D., PC is 1689766974. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Sam Khorrami, Ph.D., PC located?

Sam Khorrami, Ph.D., PC is located at 328 Commons Way Building C, Toms River, NJ 08755. The listed phone number is (732) 278-5615.

What is Sam Khorrami, Ph.D., PC's specialty?

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

Is Sam Khorrami, Ph.D., PC enrolled in Medicare?

Yes. Sam Khorrami, Ph.D., PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sam Khorrami, Ph.D., PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sam Khorrami, Ph.D., PC, in Certified Clinical Nurse Specialist (CNS) and Clinical Psychologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sam Khorrami, Ph.D., PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.