Cornell Keith Knockum

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

229 Newbury Way
American Canyon, CA 94503-4228

Phone

(707) 246-7920

Fax

(707) 648-0393

NPI assigned

Jul 20, 2009

Last updated

Jul 20, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1396975769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 NEWBURY WAY",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945034228",
            "telephone_number": "707-246-7920",
            "fax_number": "707-648-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 NEWBURY WAY",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945034228",
            "telephone_number": "707-246-7920",
            "fax_number": "707-648-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOCKUM",
        "first_name": "CORNELL",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frode Joensen
• Tania Jones
• Julia Villa, D.D.S., Inc. (American Canyon Dental CAre)
• Kaiser Permanente
• Magaly Ketron
• Paulina Knowlton
• Rosarin Kriengprarthana, M.D.
• Angela Lai
• Keshni Lal, DNP, RN, IBCLC
• Grace Serrano Larcena

• Mental Health Counselor in American Canyon, CA
• Providers in American Canyon, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.