Jerome Francis Knast, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS003306L Issued in PA

Practice address

133 Heather Rd
Suite 100
Bala Cynwyd, PA 19004-3009

Phone

(215) 601-1413

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932320116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 WALLACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303125",
            "telephone_number": "215-232-1417",
            "fax_number": "856-384-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HEATHER RD",
            "address_2": "SUITE 100",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043009",
            "telephone_number": "215-601-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAST",
        "first_name": "JEROME",
        "middle_name": "FRANCIS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003306L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Michele Klein, M.D.
• Richard C Kleiner, DMD
• Darin Kleinsmith, PA-C
• Daryl Klopp, D.M.D.
• Richard Philip Kluft, M.D.
• Helene M. Koch, D.O.
• Christine R. Kodman-Jones, PH.D.
• John P Kohler, MD
• Amanda M Kopetsky
• Wilhelmina Cornelia Korevaar, MD

• Psychologist in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.