Dr. Tulsa Knox Psychologial Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. TULSA KNOX PSYCHOLOGIAL SERVICES, PLLC

Practice address

25 8TH Ave Ste B
Brooklyn, NY 11217-3755

Phone

(845) 702-8764

NPI assigned

Jun 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tulsa Knox, PSY.DNPI 1508241092

Title

Owner

Phone

(845) 702-8764

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tulsa Knox Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tulsa Knox, PSY.D

  • Psychologist
  • Brooklyn, NY
  • NPI 1508241092
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1356072698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RITCH AVE W APT A303",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306965",
            "telephone_number": "845-702-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 8TH AVE STE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173755",
            "telephone_number": "845-702-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TULSA KNOX PSYCHOLOGIAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "TULSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-702-8764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT",
            "identifier": "003748",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE",
            "identifier": "021220",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulsa Knox",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, 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 Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.