Active NPI
Albert Adam Knapp Jr., PSY.D., LP, BCBA-D
- Clinical Psychologist
- Redondo Beach, CA
National Provider Identifier
1972895076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 25873
- Practice address
- 1444 Aviation Blvd
Suite 102
Redondo Beach, CA 90278-4001 - Phone
- (310) 210-2779
- NPI assigned
- May 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-08-4806 | ||
| Clinical Psychologist | 103TC0700X | 25873 | CA | Primary |
Addresses
Primary practice location
1444 Aviation Blvd
Suite 102
Redondo Beach, CA 90278-4001
Mailing address
2711 N Sepulveda Blvd
Suite 286
Manhattan Beach, CA 90266-2725
Phone (310) 210-2779
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25873 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogleap Center for Achievement Inc | Behavior Analyst | Current | Accepting new patients |
| Albert Knapp & Associates a Psychological Corporation | Past | Accepting new patients |
Locations
950 Roosevelt
Fl 2
Irvine, CA 92620
Phone (949) 418-8889
Organizations & group practices 2
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.
-
- Behavior Analyst
- Irvine, CA
- NPI 1598519225
-
- Adolescent and Children Mental Health Clinic/Center
- Redondo Beach, CA
- NPI 1235533852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1972895076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 N SEPULVEDA BLVD",
"address_2": "SUITE 286",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662725",
"telephone_number": "310-210-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 AVIATION BLVD",
"address_2": "SUITE 102",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902784001",
"telephone_number": "310-210-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "ALBERT",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D., LP, BCBA-D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-07",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-08-4806",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "25873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.