Active NPI
Brandon Alyn Knettel, PH.D.
- Psychologist
- Raleigh, NC
National Provider Identifier
1063897932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 8405 Dunnington Cir
Raleigh, NC 27613-8592 - Phone
- (320) 247-3100
- NPI assigned
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
8405 Dunnington Cir
Raleigh, NC 27613-8592
Mailing address
8405 Dunnington Cir
Raleigh, NC 27613-8592
Phone (320) 247-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1063897932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8405 DUNNINGTON CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276138592",
"telephone_number": "320-247-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 DUNNINGTON CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276138592",
"telephone_number": "320-247-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNETTEL",
"first_name": "BRANDON",
"middle_name": "ALYN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-21",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.