Individual provider Active NPI

Elizabeth Brestan Knight, PHD

  • Clinical Psychologist
  • Auburn, AL
National Provider Identifier
1477789568
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1044 Issued in AL
Practice address
226 Thach
Department of Psychology
Auburn, AL 36849-0001
Phone
(334) 844-6486
Fax
(334) 844-4447
NPI assigned
Jun 3, 2009
Last updated
Jun 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 1044 AL
Clinical Psychologist 103TC0700X 1044 AL Primary
Clinical Child & Adolescent Psychologist 103TC2200X 1044 AL
Health Psychologist 103TH0004X 1044 AL

Addresses

Primary practice location

226 Thach
Department of Psychology
Auburn, AL 36849-0001

Mailing address

226 Thach
Department of Psychology
Auburn, AL 36849-0001
Phone (334) 844-6486

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

LicenseStateTypeSpecialty
1044ALMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1477789568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 THACH",
            "address_2": "DEPARTMENT OF PSYCHOLOGY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368490001",
            "telephone_number": "334-844-6486",
            "fax_number": "334-844-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 THACH",
            "address_2": "DEPARTMENT OF PSYCHOLOGY",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368490001",
            "telephone_number": "334-844-6486",
            "fax_number": "334-844-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "ELIZABETH",
        "middle_name": "BRESTAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AL",
            "license": "1044",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1044",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AL",
            "license": "1044",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "AL",
            "license": "1044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.