Knowledge of Self Therapeutic Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1000740 Issued in DC

Legal business name

KNOWLEDGE OF SELF THERAPEUTIC SERVICES

Practice address

1629 K St NW
Suite 300
Washington, DC 20006-1602

Phone

(202) 885-5798

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Markisha Bennett, PSY.D.

Title

Licensed Clinical Psychologist

Phone

(954) 681-0669

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1831577501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 IVY CLUB LN",
            "address_2": "UNIT 342",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061602",
            "telephone_number": "202-885-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOWLEDGE OF SELF THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MARKISHA",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-681-0669",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356611586",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim E Knoll, D.D.S., P.C.
• Stanley Marc Knoll, M.D.
• Sydney Knoll
• Kelly Elizabeth Knolton, DO
• Tiaura Aquila Knott
• Danielle Knowles, PA-C
• Jessie Knowles, LICSW
• Slater M Knowles, RN
• Alexandra Fitzgerald Knox, L.AC., M.AC.
• Susannah Louise Knox

• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.