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LAURA KHOURY PH.D.
NPI 1902110877
Psychologist - Clinical in San Jose, CA

Active since August 03, 2010Opted out of Medicare · through Apr 1, 2028
950 S BASCOM AVE, SAN JOSE, CA 95128(408) 883-9696 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Laura Khoury Ph.d. NPPES

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

LAURA KHOURY PH.D. (NPI 1902110877) is an individual clinical provider in San Jose, California, licensed in California (27356) and active in the NPI registry since August 2010. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1902110877
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLAURA KHOURYCredential: PH.D.
Location Address950 S BASCOM AVESan Jose, CA 95128-3536
Mailing Address950 S Bascom Ave Ste 2005San Jose, CA 95128-3538 · (408) 883-9696
Phone(408) 883-9696
Sole ProprietorNo
Enumeration DateAugust 3, 2010
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1902110877 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 CA · 27356
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.
950 S BASCOM AVE, San Jose, CA 95128
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura Khoury Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$206.04 typical visit price
range $70.37 – $206.04
Typical copayment $51.51 (range $17.59 – $51.51)
Most-billed visit code 99205
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELINOR SLAYER LMFT
Marriage & Family Therapist
950 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 341-9222
LWF HOME CARE INC.
Home Health
950 S BASCOM AVE, SUITE 2007
SAN JOSE, CA 95128
Santa Clara County (408) 358-7779
PREMIER HEALTHCARE SERVICES, LLC
Home Health
950 S BASCOM AVE, SUITE 3113
SAN JOSE, CA 95128
Santa Clara County (408) 288-6700
MR. GEOFF JULIAN NUGENT JR. PH.D.
Marriage & Family Therapist
950 S BASCOM AVE, SUITE 2005
SAN JOSE, CA 95128
Santa Clara County (408) 903-6425
MS. MARITZA LIZZETH NORIEGA
Marriage & Family Therapist
950 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 471-4261
MS. LISA BREAKEY MA
Speech-Language Pathologist
950 S BASCOM AVE, SUITE 1113
SAN JOSE, CA 95128
Santa Clara County (408) 297-9740
JENNY MCCRACKEN
Marriage & Family Therapist
950 S BASCOM AVE, ES 123
SAN JOSE, CA 95128
Santa Clara County (408) 759-5615

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 Laura Khoury's NPI number?

The NPI number for Laura Khoury is 1902110877. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Where is Laura Khoury located?

Laura Khoury practices at 950 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 883-9696.

What is Laura Khoury's specialty?

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

Is Laura Khoury enrolled in Medicare?

No. Laura Khoury has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Khoury was last updated on April 29, 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.