Richard David Knapp, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS 3953 Issued in FL

Practice address

2300 Maitland Center Pkwy
Ste 230
Maitland, FL 32751-4129

Phone

(407) 644-1165

Fax

(407) 644-6108

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Lifestream Behavioral Center Inc

  • Primary Care Clinic/Center
  • Leesburg, FL
  • NPI 1659613776
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962612994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 PISA DR",
            "address_2": "APT 9213",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102143",
            "telephone_number": "407-718-8524",
            "fax_number": "407-644-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MAITLAND CENTER PKWY",
            "address_2": "STE 230",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514129",
            "telephone_number": "407-644-1165",
            "fax_number": "407-644-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "RICHARD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS 3953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Kirchner, LMT
• Klaiman Urology PA
• Lynda Z Kleiman, M.D.
• Rima Kristina Klimas, O.D.
• Erick Hemann Knackstedt, M.A.
• Precious Knight
• Quentin Knighten
• Tshai Knowles
• Annette Marie Kodera, LCSW
• Waldemar Kogan, LMT

• Psychiatry Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.