Penny Ilona Knack, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

011052 Issued in NY

Practice address

115 Bedford Rd
Chappaqua, NY 10514-2721

Phone

(914) 238-1433

Fax

(914) 238-1433

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvest Healthcare LLCGroup PAC ID 9931276979, 72 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harvest Healthcare LLC

  • Clinical Social Worker
  • Avon, CT
  • NPI 1477712917
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1215135314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BEDFORD RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105142721",
            "telephone_number": "914-238-1433",
            "fax_number": "914-238-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BEDFORD RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105142721",
            "telephone_number": "914-238-1433",
            "fax_number": "914-238-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNACK",
        "first_name": "PENNY",
        "middle_name": "ILONA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil B. Kavey, M.D
• Sandra R. Kellogg, LCSWR
• Joyce Ellen Kelly-Luttkus
• Mary Ellen Kelly, CCC-SLP
• Marlo Marie Klein, CCC-SLP
• William A Knack, PH.D.
• Claudia Joy Koblenz-Sulcov, PHD
• Kelly Ann Koch, OTR/L
• Amy Koppes
• Colleen Renee Kourakos, M.A.CCC/SLP

• Clinical Psychologist in Chappaqua, NY
• Providers in Chappaqua, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.