Elizabeth Knake, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810004942 Issued in VA

Practice address

5691 Columbia Pike
Falls Church, VA 22041-2887

Phone

(703) 998-5606

NPI assigned

May 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth Hole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Center Counseling

  • Clinical Psychologist
  • Falls Church, VA
  • NPI 1881872505
  NPD (past)

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

{
    "created_epoch": "1463875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463875200000",
    "number": "1285081091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 WARREN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162234",
            "telephone_number": "610-812-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 COLUMBIA PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412887",
            "telephone_number": "703-998-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAKE",
        "first_name": "ELIZABETH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-22",
        "last_updated": "2016-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1001042",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Mae Kline, MSN APRN CPNP-AC
• Timothy A Kline, M.D.
• Christine Klingaman, D.O.
• Trevor Ralph Klinkner
• Olivia Kloster
• Megan Anne Knapick, PT, DPT
• Rachel Knuth, MD
• James F. Koch, MD
• Adam Adiv Kochman, MD
• Keith Christopher Kocis, MD

• Psychologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.