Andrea Knestel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11051 Issued in MA

Practice address

224 Clarendon St Ste 51
Boston, MA 02116-3793

Phone

(617) 420-5258

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boston Trauma Therapy, LLC

  • Clinical Psychologist
  • Boston, MA
  • NPI 1871136275
  NPD Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1780161091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021480003",
            "telephone_number": "617-420-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CLARENDON ST STE 51",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163793",
            "telephone_number": "617-420-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNESTEL",
        "first_name": "ANDREA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "7771439-2501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Knauss, MD
• Robert Otto Knauz, PHD
• Michael D Kneeland, MD
• Jamie Knell
• Erik Henry Knelson, M.D., PH.D.
• Amitha Knight, MD
• Dynyella Knight
• Helen Knight, MD
• Jeffrey A Knight, PH.D.
• Jessica Knight, MS OTR/L

• Clinical Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.