Individual provider Active NPI

Janice Adrienne Knapp, PHD

  • Psychologist
  • Wexford, PA
National Provider Identifier
1699894436
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS004447L Issued in PA
Practice address
4500 Brooktree Rd Ste 105
Wexford, PA 15090-9289
Phone
(724) 991-8475
Fax
(724) 360-3318
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS004447L PA Primary

Addresses

Primary practice location

4500 Brooktree Rd Ste 105
Wexford, PA 15090-9289

Mailing address

121 S Butler St
Saxonburg, PA 16056-2251
Phone (724) 360-3318

Other practice location 1

4500 Brooktree Rd Ste 105
Wexford, PA 15090-9289
Phone (724) 991-8475

Other practice location 2

1022 N Main Street Ext
Ste 204
Butler, PA 16001-1962
Phone (724) 799-9060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090929000128 PA Practitioner - Clinical Psychologist 4688720949 Practice locations: Wexford, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 N Meadow Dr
Wexford, PA 15090-8369
Phone (724) 991-8475

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1699894436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S BUTLER ST",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160562251",
            "telephone_number": "724-360-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROOKTREE RD STE 105",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909289",
            "telephone_number": "724-991-8475",
            "fax_number": "724-360-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Brooktree Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wexford",
            "state": "PA",
            "postal_code": "150909289",
            "country_code": "US",
            "telephone_number": "724-991-8475",
            "fax_number": "724-360-3318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1022 N MAIN STREET EXT",
            "address_2": "STE 204",
            "address_purpose": "LOCATION",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011962",
            "country_code": "US",
            "telephone_number": "724-799-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "JANICE",
        "middle_name": "ADRIENNE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004447L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.