Victoria Marie Knightly, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD470216 Issued in PA

Practice address

680 E Main St # 567
Stamford, CT 06901-2113

Phone

(475) 219-6707

Fax

(956) 508-9773

NPI assigned

Jul 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1043662729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W LANCASTER AVE # 1038",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103401",
            "telephone_number": "609-516-2352",
            "fax_number": "956-508-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST # 567",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012113",
            "telephone_number": "475-219-6707",
            "fax_number": "956-508-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHTLY",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "A171676",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "3030632",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT212242",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "71520",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD470216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Klenoff, M.D.
• Laura Elizabeth Kleppe, MS, CGC
• Elizabeth Guia Klumac, PT, MS
• Samantha Knight, PT, DPT
• Thomas Joseph Knightly Jr., M.D.
• Ethan Knisley, DC
• Rachel Mann Knoll, DO
• Jill Debra Knopoff, RD
• Florence Angela Knox, M.D.
• Walter Michael Kobialka, MD

• Psychiatry Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.