Active NPI
Sara Knickerbocker, PH.D.
- School Psychologist
- Denver, CO
National Provider Identifier
1184092967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 13620
- Practice address
- 900 E Louisiana Ave Ste 289
Denver, CO 80210-1722 - Phone
- (720) 593-0199
- NPI assigned
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 13620 | CO | Primary |
Addresses
Primary practice location
900 E Louisiana Ave Ste 289
Denver, CO 80210-1722
Mailing address
900 E Louisiana Ave Ste 289
Denver, CO 80210-1722
Phone (720) 593-0199
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13620 | CO | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1184092967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E LOUISIANA AVE STE 289",
"city": "DENVER",
"state": "CO",
"postal_code": "802101722",
"telephone_number": "720-593-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E LOUISIANA AVE STE 289",
"city": "DENVER",
"state": "CO",
"postal_code": "802101722",
"telephone_number": "720-593-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNICKERBOCKER",
"first_name": "SARA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CO",
"license": "13620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.