Active NPI
Faye A Knauss, PSYD
- Psychologist
- Fayetteville, NC
National Provider Identifier
1174851190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3645
- Practice address
- 2529 Raeford Rd
Ste Coffice1
Fayetteville, NC 28305-5098 - Phone
- (910) 759-1422
- NPI assigned
- Dec 2, 2009
- Sex
- Female
- 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 | 3645 | NC | Primary |
Addresses
Primary practice location
2529 Raeford Rd
Ste Coffice1
Fayetteville, NC 28305-5098
Mailing address
2587 Ravenhill Dr
Fayetteville, NC 28303-5451
Phone (910) 323-1543
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3645 | NC | MD | Environmental Modification Occupational Therapy Assistant |
Interoperability endpoints
- https://api.platform.athenahealth.com/23854/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1174851190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2587 RAVENHILL DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283035451",
"telephone_number": "910-323-1543",
"fax_number": "910-485-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2529 RAEFORD RD",
"address_2": "STE COFFICE1",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055098",
"telephone_number": "910-759-1422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAUSS",
"first_name": "FAYE",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-02",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.