Active NPI
Kathleen Marie Wright-Knothe, PH.D.
- Psychologist
- Fairport, NY
National Provider Identifier
1285737312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- O111421
- Practice address
- 620 Crosskeys Office Park
Fairport, NY 14450-3508 - Phone
- (585) 223-5920
- Fax
- (585) 223-5727
- NPI assigned
- Sep 6, 2006
- 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 | O111421 | NY | Primary |
Addresses
Primary practice location
620 Crosskeys Office Park
Fairport, NY 14450-3508
Mailing address
620 Crosskeys Office Park
Fairport, NY 14450-3508
Phone (585) 223-5920
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010011142 | Other | NY | BLUE CHOICE |
| 100321FC | Other | NY | PREFERRED CARE |
| P020011142 | Other | NY | BLUE CROSS BLUE SHIELD |
| 5922621 | Other | NY | AETNA |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040116000755 | NY | Practitioner - Clinical Psychologist | 4587565395 | Practice locations: Rochester, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
185 Norman Rd
Rochester, NY 14623-1153
Phone (585) 314-0274
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O111421 | NY | MD | Psychologist |
| 011142 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1285737312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 CROSSKEYS OFFICE PARK",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503508",
"telephone_number": "585-223-5920",
"fax_number": "585-223-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CROSSKEYS OFFICE PARK",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144503508",
"telephone_number": "585-223-5920",
"fax_number": "585-223-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT-KNOTHE",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "O111421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010011142",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100321FC",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P020011142",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5922621",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.