Organization Active NPI

Knight Psychotherapy LLC

  • Specialist
  • Summit, NJ
National Provider Identifier
1730289547
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KNIGHT PSYCHOTHERAPY LLC
Practice address
35 Deforest Ave
Summit, NJ 07901-2155
Phone
(908) 273-9666
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Ms. Diana G Knight, L.C.S.W.
Title
Manager Clinician
Phone
(908) 273-9666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NJ Primary

Addresses

Primary practice location

35 Deforest Ave
Summit, NJ 07901-2155

Mailing address

35 Deforest Ave
Summit, NJ 07901-2155
Phone (908) 273-9666

Other identifiers 1

IdentifierTypeStateIssuer
44SC04674000OtherNJLICENSED CLINICAL SOCIAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1730289547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DEFOREST AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012155",
            "telephone_number": "908-273-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DEFOREST AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012155",
            "telephone_number": "908-273-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER CLINICIAN",
        "authorized_official_telephone_number": "908-273-9666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL",
            "identifier": "44SC04674000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.