Jodie Marie Knott, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20647 Issued in CA

Practice address

7872 Walker Street
Suite 200
La Palma, CA 90623

Phone

(714) 490-3428

Fax

(714) 224-3803

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jodie Knott, PHD Psychological Consulting, IncGroup PAC ID 5799098885, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jodie Knott, PH.D., Psychological Consulting, Inc.

  dba Quest Psychological Solutions

  • Counseling Psychologist
  • Los Alamitos, CA
  • NPI 1063803393
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043244577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90125",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908090125",
            "telephone_number": "800-404-2353",
            "fax_number": "562-795-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 WALKER STREET",
            "address_2": "SUITE 200",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "90623",
            "telephone_number": "714-490-3428",
            "fax_number": "714-224-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOTT",
        "first_name": "JODIE",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGY",
            "identifier": "PSY20647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sang Yup Kim, D.P.M
• Sun Hui Kim, R.PH.
• Sunghee Park Kim
• Kind Intervention Direct Services, Inc.
• Jaime Cherise Kirchner, M.A., ED.S., PPS
• Howard Koh, OTR/L
• John S. Kokonas, D.C.
• Komberg Chiropractic
• Edward Komberg, D.C.
• Korus Medical Center, Inc.

• Psychologist in La Palma, CA
• Providers in La Palma, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.