Julie A Knapp, PHD, BCBA-D,COBA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6273 Issued in OH

Practice address

1051 Tiffany South
Youngstown, OH 44514-1977

Phone

(330) 629-2955

Fax

(330) 629-2956

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Absolute Behavior Health Care LLC

  • Developmental Disabilities Clinic/Center
  • Youngstown, OH
  • NPI 1043880636
  NPD Authorized official
• Knapp Center for Childhood Development

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1699052191
  NPD Authorized official
• Multicare Health System

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1407808413
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1124198494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 TIFFANY SOUTH",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141977",
            "telephone_number": "330-629-2955",
            "fax_number": "330-629-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 TIFFANY SOUTH",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141977",
            "telephone_number": "330-629-2955",
            "fax_number": "330-629-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA-D,COBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CL3601801",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2772825",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3601801",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Klumph, RN
• Jason Kmentt
• Kmjackson
• Knabe, Two Sister'S Homes LLC
• Knapp Center for Childhood Development
• Justine Knauf
• Kearstin L Knecht, MD
• Anna Marlese Knight-Baldwin
• Chris A Knight, M.D.
• Timothy E Knight, CRNA

• Clinical Psychologist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.