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

Paulina Khodak, DO

Individual provider Psychiatry Physician · NPI 1407416290

Paulina Khodak, DO is a Psychiatry in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

33 S 9th St
Philadelphia, PA 19107-4414
Phone: (215) 456-9850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5501 Old York Rd, Philadelphia, PA 19141-3018 — (215) 456-9015

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence OS022575 (PA)

Record details

NPI number1407416290
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 14, 2019
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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