Individual provider Active NPI

Linda L.S. Knowles, L.L.P.

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1043431141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301012023 Issued in MI
Practice address
32000 Northwestern Hwy Ste 165
Farmington Hills, MI 48334-1568
Phone
(248) 320-1196
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301012023 MI Primary

Addresses

Primary practice location

32000 Northwestern Hwy Ste 165
Farmington Hills, MI 48334-1568

Mailing address

6633 Ellinwood Dr
White Lake, MI 48383-3083
Phone (248) 320-1196

Other names 1

  • Mrs. Jenni Knowles Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20110727000132 MI Practitioner - Clinical Psychologist 3173791787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 N Milford Rd
Suite 201
Highland, MI 48357-4501
Phone (248) 320-1196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301012023MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Psychological Services, P.C. Psychologist CurrentSince Jul 13, 2011 Accepting new patients
Jenni Knowles, PH.D., LP, LLC CurrentSince Aug 1, 2012 Accepting new patients

Locations

141 N Milford Rd
Ste 201
Highland, MI 48357
Phone (248) 320-1196

41820 6 Mile Rd
Ste 104
Northville, MI 48168
Phone (248) 349-3131

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043431141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 ELLINWOOD DR",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483833083",
            "telephone_number": "248-320-1196",
            "fax_number": "248-889-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32000 NORTHWESTERN HWY STE 165",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341568",
            "telephone_number": "248-320-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "LINDA",
        "middle_name": "L.S.",
        "name_prefix": "Mrs.",
        "credential": "L.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNI",
            "last_name": "KNOWLES",
            "prefix": "MRS.",
            "credential": "L.L.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.