Individual provider Active NPI

Albert Adam Knapp Jr., PSY.D., LP, BCBA-D

  • Clinical Psychologist
  • Redondo Beach, CA
National Provider Identifier
1972895076
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25873 Issued in CA
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

Updated by the provider on May 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
25873CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cogleap Center for Achievement Inc Behavior Analyst CurrentSince Apr 21, 2024 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.

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.

Verify at the official NPI Registry.