Individual provider Active NPI

Seth Knoepler, PH.D.

  • Psychologist
  • Palo Alto, CA
National Provider Identifier
1598811705
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14235 Issued in CA
Practice address
415 Cambridge Ave
Suite 15
Palo Alto, CA 94306-1600
Phone
(650) 787-2111
NPI assigned
Jan 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14235 CA Primary
Clinical Social Worker 1041C0700X LCS14392 CA

Addresses

Primary practice location

415 Cambridge Ave
Suite 15
Palo Alto, CA 94306-1600

Mailing address

PO Box 1481
Felton, CA 95018-1481
Phone (650) 787-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120727000260 CA Practitioner - Clinical Psychologist 8325204886 Practice locations: Felton, CA; Palo Alto, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 Cambridge Ave
Suite 15
Palo Alto, CA 94306-1608
Phone (650) 787-2111

756 Redwood Rd
Felton, CA 95018-9520
Phone (650) 787-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY14235CAMDPsychologist
LCS14392CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1598811705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1481",
            "city": "FELTON",
            "state": "CA",
            "postal_code": "950181481",
            "telephone_number": "650-787-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CAMBRIDGE AVE",
            "address_2": "SUITE 15",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061600",
            "telephone_number": "650-787-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOEPLER",
        "first_name": "SETH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14235",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.