Jane Knapp, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28448 Issued in CA

Practice address

2680 Bayshore Pkwy
Suite 101
Mountain View, CA 94043-1018

Phone

(650) 288-6069

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Jane Heesen Dietrich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1063476687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 BAYSHORE PARKWAY",
            "address_2": "SUITE 101",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940434425",
            "telephone_number": "650-288-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 BAYSHORE PKWY",
            "address_2": "SUITE 101",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431018",
            "telephone_number": "650-288-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007834L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01761330",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "DIETRICH",
            "middle_name": "HEESEN",
            "prefix": "MS.",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joel Klein, MT
• Nina Kligman, O.D,
• Harry Klisch
• Dagmara M Klubek, LPC
• Martin Klughaupt, M.D.
• Allison Ko, MS, CCC-SLP
• Sebastian Ko, M.D.
• Shuichi Kobayashi, M.D.
• Ronald James Koch Jr., M.D.
• Matthias Kochmann, MD

• Clinical Psychologist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.