Active NPI
Jessica A Knight, PSYD
- Psychologist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 857
- Practice address
- 7101 Newport Ave
Omaha, NE 68152-2164 - Phone
- (402) 572-2916
- Fax
- (402) 572-3258
- NPI assigned
- Jan 28, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3672 | NE | |
| Psychologist | 103T00000X | 857 | NE | Primary |
Addresses
Primary practice location
7101 Newport Ave
Omaha, NE 68152-2164
Mailing address
7261 Mercy Rd.
Omaha, NE 68124-2311
Phone (402) 398-6248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025287200 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1505 Sunset Dr
Belle Plaine, IA 52208-1301
Phone (319) 444-2500
407 S E Ave
Baxter, IA 50028-1013
Phone (641) 227-3602
5710 S 108TH St
Omaha, NE 68137-3592
Phone (402) 596-9033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3672 | NE | MD | Mental Health Counselor |
| 857 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Current | Accepting new patients |
Locations
407 S East Ave
Baxter, IA 50028
Phone (641) 227-3602
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
Organizations & group practices 1
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": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1396076451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD.",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311",
"telephone_number": "402-398-6248",
"fax_number": "402-829-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 NEWPORT AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681522164",
"telephone_number": "402-572-2916",
"fax_number": "402-572-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "3672",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025287200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.