John Knapp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-009037 Issued in IL

Practice address

400 Linden Ave Ste 2
Wilmette, IL 60091-2883

Phone

(412) 715-6534

NPI assigned

Feb 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 11, 2024 through Mar 11, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Psychodynamic Psychotherapy, Inc.

  • Clinical Psychologist
  • Wilmette, IL
  • NPI 1417425182
  NPD Authorized official

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1104218627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LINDEN AVE STE 2",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LINDEN AVE STE 2",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912883",
            "telephone_number": "412-715-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-009037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kim, PHARM.D
• Charles Kitchen, M.D.
• Howard J Klapman, MD
• Adina Sue Kleiman, PH. D
• Emily Kline, OTR/L
• Gaye Desiree Koconis, CNM
• James W Kohl, DDS
• Craig S. Kohler, DDS.
• Andrew Eric Kohn, O.D.
• Lynett Marie Kopec-Mohr, ATR, LCPC

• Clinical Psychologist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.