Active NPI
Allyson M Holmes-Knight, PH.D.
- Psychologist
- Oakland, CA
National Provider Identifier
1457553000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 27770
- Practice address
- 3301 E 12TH St
Suite 259
Oakland, CA 94601-3424 - Phone
- (510) 269-9121
- Fax
- (510) 269-9031
- NPI assigned
- Jun 5, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 27770 | CA | |
| Psychologist | 103T00000X | 27770 | CA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
3301 E 12TH St
Suite 259
Oakland, CA 94601-3424
Mailing address
2548 Jacobs St
Hayward, CA 94541-3384
Phone (510) 432-0422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RU 38C72 | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27770 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family & Community Services East Bay | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1043252661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1457553000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2548 JACOBS ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413384",
"telephone_number": "510-432-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 E 12TH ST",
"address_2": "SUITE 259",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946013424",
"telephone_number": "510-269-9121",
"fax_number": "510-269-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES-KNIGHT",
"first_name": "ALLYSON",
"middle_name": "M",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27770",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "27770",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "RU 38C72",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.