Organization Active NPI

Dr. Craig W. Knapp P.C.

  • Clinical Psychologist
  • North Clarendon, VT
National Provider Identifier
1013231133
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0480000261 Issued in VT
Legal business name
DR. CRAIG W. KNAPP P.C.
Practice address
646 North Shrewsbury Rd
North Clarendon, VT 05759-0218
Phone
(802) 775-2728
Fax
(802) 775-2728
NPI assigned
Mar 18, 2010
Last updated
Mar 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Craig Wendell Knapp, PH.D.NPI 1104972959
Title
President
Phone
(802) 775-2728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0480000261 VT Primary

Addresses

Primary practice location

646 North Shrewsbury Rd
North Clarendon, VT 05759-0218

Mailing address

PO Box 218
North Clarendon, VT 05759-0218
Phone (802) 775-2728

Other identifiers 1

IdentifierTypeStateIssuer
0002628MedicaidVT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1013231133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "NORTH CLARENDON",
            "state": "VT",
            "postal_code": "057590218",
            "telephone_number": "802-775-2728",
            "fax_number": "802-775-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 NORTH SHREWSBURY RD",
            "city": "NORTH CLARENDON",
            "state": "VT",
            "postal_code": "057590218",
            "telephone_number": "802-775-2728",
            "fax_number": "802-775-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CRAIG W. KNAPP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-775-2728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "0480000261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002628",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Clarendon, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.