Individual provider Active NPI

James McKnight, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
National Provider Identifier
1215924030
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
036216 Issued in GA
Practice address
154 W 127TH St
New York, NY 10027-3739
Phone
(404) 688-1350
Fax
(404) 564-6734
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 036216 GA Primary

Addresses

Primary practice location

154 W 127TH St
New York, NY 10027-3739

Mailing address

154 W 127TH St
New York, NY 10027-3739
Phone (404) 688-1350

Other identifiers 1

IdentifierTypeStateIssuer
000525258EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000079 NY Practitioner - Psychiatry 8921083940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Emory University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1090 Saint Nicholas Ave
New York, NY 10032-3809

160 W 86 St
New York, NY 10024-4018
Phone 2128751300508

336 Central Park W
New York, NY 10025-7107
Phone (212) 864-3666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036216GAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Alternative Sentencing and Employment Services Addiction Medicine CurrentSince Apr 5, 2016 Accepting new patients
Ausborn Behavioral Care, PC Past Accepting new patients
Harlem Medical Associates PC Past Accepting new patients
Fulton County Mental Health Center Past Accepting new patients
Fulton County Mhddad Past Accepting new patients

Locations

151 Lawrence St
Fl 3
Brooklyn, NY 11201
Phone (212) 553-6300

2090 Adam Clayton Powell Jr Blvd
Fl 4
New York, NY 10027
Phone (212) 553-6708

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1215924030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 W 127TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273739",
            "telephone_number": "404-688-1350",
            "fax_number": "404-564-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W 127TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100273739",
            "telephone_number": "404-688-1350",
            "fax_number": "404-564-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "GA",
            "license": "036216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000525258E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.