Individual provider Active NPI

Rebecca McKnight, PSYD

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1710117981
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24001 Issued in CA
Practice address
621 2ND St
Encinitas, CA 92024-3568
Phone
(619) 997-7520
NPI assigned
Jul 21, 2009
Last updated
Mar 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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 PSY24001 CA Primary

Addresses

Primary practice location

621 2ND St
Encinitas, CA 92024-3568

Mailing address

2626 Colibri LN
Carlsbad, CA 92009-4303
Phone (619) 997-7520

Other names 1

  • Miss Becky Butler Former name

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
I20161130001274 CA Practitioner - Clinical Psychologist 1557641933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Halliday Center for Psychotherapy and Wellness, IncGroup PAC ID 3375767437, 10 clinicians

Practice addresses (Care Compare)

355 Santa Fe Dr
Suite 200
Encinitas, CA 92024-5153
Phone (760) 635-3310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY24001CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Halliday Center for Psychotherapy and Wellness, Inc. Clinical CurrentSince Feb 9, 2023 Accepting new patients

Locations

355 Santa Fe Dr
Ste 200
Encinitas, CA 92024
Phone (760) 473-3235

12625 High Bluff Dr
Ste 216
San Diego, CA 92130
Phone (619) 952-5321

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1710117981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 COLIBRI LN",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094303",
            "telephone_number": "619-997-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243568",
            "telephone_number": "619-997-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "BUTLER",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.