Individual provider Active NPI

Tulsa Knox, PSY.D

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1508241092
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
021220 Issued in NY
Practice address
25 8TH Ave.
Suite 2B
Brooklyn, NY 11217-3744
Phone
(845) 702-8764
NPI assigned
Jul 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 021220 NY Primary

Addresses

Primary practice location

25 8TH Ave.
Suite 2B
Brooklyn, NY 11217-3744

Mailing address

25 8TH Ave.
Suite 2B
Brooklyn, NY 11217-3744
Phone (845) 702-8764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021000259 NY Practitioner - Clinical Psychologist 4688983315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 8TH Ave
Suite B
Brooklyn, NY 11217-3755
Phone (845) 702-8764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Tulsa Knox Psychologial Services, PLLC CurrentSince Jun 21, 2022 Accepting new patients
Kaufmann & Kaufmann, PHDS, LLP Current Accepting new patients

Locations

25 8th Ave
Ste B
Brooklyn, NY 11217
Phone (845) 702-8764

Organizations & group practices 2

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": "1437782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1508241092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 8TH AVE.",
            "address_2": "SUITE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173744",
            "telephone_number": "845-702-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 8TH AVE.",
            "address_2": "SUITE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173744",
            "telephone_number": "845-702-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "TULSA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "021220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.