Individual provider Active NPI

Raymond Albert Knight, PHD

  • Clinical Psychologist
  • Foxboro, MA
National Provider Identifier
1932698990
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2469-PY-PR Issued in MA
Practice address
37 Mill St
Foxboro, MA 02035-2720
Phone
(508) 543-6784
Fax
(508) 543-6784
NPI assigned
May 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 2469-PY-PR MA Primary

Addresses

Primary practice location

37 Mill St
Foxboro, MA 02035-2720

Mailing address

37 Mill St
Foxboro, MA 02035-2720
Phone (508) 543-6784

Other identifiers 1

IdentifierTypeStateIssuer
2469-PY-PROtherMADIVISION OF PROFESSIONAL LICENSURE BOARD OD REGISTRATION OF PSYCHOLOGISTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2469-PY-PRMAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1932698990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MILL ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352720",
            "telephone_number": "508-543-6784",
            "fax_number": "508-543-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MILL ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352720",
            "telephone_number": "508-543-6784",
            "fax_number": "508-543-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "RAYMOND",
        "middle_name": "ALBERT",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2469-PY-PR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF PROFESSIONAL LICENSURE BOARD OD REGISTRATION OF PSYCHOLOGISTS",
            "identifier": "2469-PY-PR",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.