Organization Active NPI

Kim Knight Flanagan, LLC

  • Clinical Psychologist
  • Weston, FL
National Provider Identifier
1467982389
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0005828 Issued in FL
Legal business name
KIM KNIGHT FLANAGAN, LLC
Practice address
1730 Main St
Weston, FL 33326-3675
Phone
(954) 560-6326
Fax
(954) 239-7733
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Authorized official

Name
Dr. Kim Knight, PSY.D.NPI 1811046097
Title
Psychologist
Phone
(954) 560-6326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY0005828 FL
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY0005828 FL Primary

Addresses

Primary practice location

1730 Main St
Weston, FL 33326-3675

Mailing address

1811 SW 51St Ter
Plantation, FL 33317-5413
Phone (954) 560-6326

National Provider Directory

National Provider Directory

Locations

1730 Main St
Weston, FL 33326
Phone (954) 560-6326

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1467982389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SW 51ST TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175413",
            "telephone_number": "954-560-6326",
            "fax_number": "954-239-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 MAIN ST",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263675",
            "telephone_number": "954-560-6326",
            "fax_number": "954-239-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM KNIGHT FLANAGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-560-6326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY0005828",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0005828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.