Individual provider Active NPI

Brian Knoll

  • Clinical Psychologist
  • Camarillo, CA
National Provider Identifier
1699402669
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34502 Issued in CA
Practice address
3901 Las Posas Rd Ste 208
Camarillo, CA 93010-1506
Phone
(805) 678-8359
Fax
(805) 244-0465
NPI assigned
Aug 1, 2022
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34502 CA Primary

Addresses

Primary practice location

3901 Las Posas Rd Ste 208
Camarillo, CA 93010-1506

Mailing address

3901 Las Posas Rd Ste 208
Camarillo, CA 93010-1506
Phone (805) 678-8359

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
I20230926001768 CA Practitioner - Clinical Psychologist 9234583188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Camarillo, CA 93010
Phone (805) 678-8359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knoll Psychology Inc CurrentSince Apr 9, 2024 Accepting new patients

Locations

3901 Las Posas Rd
Ste 107
Camarillo, CA 93010
Phone (805) 484-6956

3901 Las Posas Rd
Ste 208
Camarillo, CA 93010
Phone (805) 678-8359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1699402669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD STE 208",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101506",
            "telephone_number": "805-678-8359",
            "fax_number": "805-244-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD STE 208",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101506",
            "telephone_number": "805-678-8359",
            "fax_number": "805-244-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOLL",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.