Organization Active NPI

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

Doing business as Quest Psychological Solutions

  • Counseling Psychologist
  • Los Alamitos, CA
National Provider Identifier
1063803393
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY20647 Issued in CA
Legal business name
JODIE KNOTT, PH.D., PSYCHOLOGICAL CONSULTING, INC.
Doing business as
Quest Psychological Solutions
Practice address
5212 Katella Ave Ste 104
Los Alamitos, CA 90720-6829
Phone
(714) 490-3428
Fax
(562) 493-1684
NPI assigned
Feb 9, 2015
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Jodie Knott, PH.D.NPI 1043244577
Title
Licensed Psychologist/President
Phone
(714) 490-3428

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
Counseling Psychologist 103TC1900X PSY20647 CA Primary

Addresses

Primary practice location

5212 Katella Ave Ste 104
Los Alamitos, CA 90720-6829

Mailing address

5212 Katella Ave Ste 104
Los Alamitos, CA 90720-6829
Phone (714) 490-3428

Other names 1

  • Quest Psychological Solutions Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150717002669 CA Part B Supplier - Clinic/Group Practice 5799098885 Receives reassigned benefits from 2 practitioners
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1063803393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206829",
            "telephone_number": "714-490-3428",
            "fax_number": "562-493-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE STE 104",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206829",
            "telephone_number": "714-490-3428",
            "fax_number": "562-493-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODIE KNOTT, PH.D., PSYCHOLOGICAL CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "714-490-3428",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY20647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quest Psychological Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.