Active NPI
Brittany Nicole Knox, DLLP, LLMSW
- Clinical Psychologist
- Ypsilanti, MI
National Provider Identifier
1992058440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301017344
- Practice address
- 120 N Huron St
Ypsilanti, MI 48197-2610 - Phone
- (734) 368-5631
- NPI assigned
- Oct 22, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801094042 | MI | |
| Clinical Psychologist | 103TC0700X | 6301017344 | MI | Primary |
Addresses
Primary practice location
120 N Huron St
Ypsilanti, MI 48197-2610
Mailing address
5992 Willowbridge Rd
Ypsilanti, MI 48197-7133
Phone (734) 368-5631
Other names 1
- Brittany Nicole Watts
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 |
|---|---|---|---|
| 6301017344 | MI | MD | Clinical Psychologist |
| 6801094042 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monarch Counseling Services, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ypsilanti, MI
- NPI 1154827244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1992058440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5992 WILLOWBRIDGE RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481977133",
"telephone_number": "734-368-5631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 N HURON ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481972610",
"telephone_number": "734-368-5631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "BRITTANY",
"middle_name": "NICOLE",
"credential": "DLLP, LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801094042",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301017344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "WATTS",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.