Heidi D Knipe Laird, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

CA PSY 10935 Issued in CA

Practice address

1325 Auto Plaza Dr
Suite 110
San Bernardino, CA 92408

Phone

(909) 885-0411

Fax

(951) 784-1841

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659430577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5922",
            "address_2": "1325 AUTO PLAZE DR SUITE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-885-0411",
            "fax_number": "951-784-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AUTO PLAZA DR",
            "address_2": "SUITE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-885-0411",
            "fax_number": "951-784-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPE LAIRD",
        "first_name": "HEIDI",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "CA PSY 10935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9455029",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIVERSIDE COUNTY DCS",
            "identifier": "33BE10",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienne Ann Knabb, M.A.
• Stephaney Knapp
• Brianna Leigh Knight
• Randall Knight, RPH
• Rochelle Renee Knight, LVN
• Knotts Family & Parenting Institute
• Knotts Family Agency
• Knotts Group Home
• Gwendolyn K Knotts
• Jessa Marie Koch, PHARMD

• Clinical Psychologist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.