Paul Daniel Knabb, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY8463 Issued in FL

Practice address

6620 Southpoint Dr S Ste 450F
Jacksonville, FL 32216-0912

Phone

(904) 383-7352

Fax

(904) 404-7740

NPI assigned

Sep 10, 2012

Last updated

Jun 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Texas Tech University Health Science Center School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Positive Change Mental Health LLC

  • Counseling Psychologist
  • Jacksonville, FL
  • NPI 1033462163
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1528317203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9771 RIDDLE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322201919",
            "telephone_number": "904-383-7352",
            "fax_number": "904-404-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 SOUTHPOINT DR S STE 450F",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160912",
            "telephone_number": "904-383-7352",
            "fax_number": "904-404-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNABB",
        "first_name": "PAUL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8463",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY8463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ann Klucher, DNP, FNP-BC
• Claude Kluck, CRNA
• KM Transportation and Linguistics
• Jennie Knabb, CRNA
• Natalie Ann Knabb, O.D
• Brooke Knapp
• Douglas Terry Knapp, APRN
• Rachel Kathleen Knapp, PMHNP-BC
• Sharon A Knapp, L.M.T.
• Synthia Marie Knapp

• Counseling Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.