Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ali Khan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1659237758

Ali Khan is a Nurse Practitioner in Orange, Connecticut. Qualified in 2025, 1 year ago. Practices with Impact Health Psych PC, a 19-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2026

Practice location Address checks out

240 Indian River Rd
Orange, CT 06477-3649
Phone: (203) 497-3861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 16183 (CT)

Record details

NPI number1659237758
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 2, 2026
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address240 Indian River Rd, Orange, CT 06477-3649

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Impact Health Psych Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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