Individual provider Active NPI

Denise Alexandra Knispel, PSYD

  • Psychologist
  • Shirley, NY
National Provider Identifier
1124468327
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P89242 Issued in NY
Practice address
99 Lexington Rd
Shirley, NY 11967-2821
Phone
(631) 281-6800
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P89242 NY Primary

Addresses

Primary practice location

99 Lexington Rd
Shirley, NY 11967-2821

Mailing address

50 Ferndale Ave
Selden, NY 11784-3008
Phone (631) 219-2074

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

State licenses

LicenseStateTypeSpecialty
P89242NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1124468327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FERNDALE AVE",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117843008",
            "telephone_number": "631-219-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LEXINGTON RD",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672821",
            "telephone_number": "631-281-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNISPEL",
        "first_name": "DENISE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "P89242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.