JOHN KNAPP
NPI 1104218627
Psychologist - Clinical in Wilmette, IL

Q: What is John Knapp's NPI number?

The NPI number for John Knapp is 1104218627. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Q: What is John Knapp's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is John Knapp enrolled in Medicare?

No. John Knapp has opted out of Medicare through March 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for John Knapp was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 19, 2015Opted out of Medicare · through Mar 11, 2028

400 LINDEN AVE STE 2, WILMETTE, IL 60091(412) 715-6534 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About John Knapp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN KNAPP (NPI 1104218627) is an individual clinical provider in Wilmette, Illinois, licensed in Illinois (071-009037) and active in the NPI registry since February 2015. He has opted out of Medicare through March 11, 2028.

NPPES Registry Identity

NPI1104218627

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameJOHN KNAPP

Location Address400 LINDEN AVE STE 2Wilmette, IL 60091-2883

Mailing Address400 Linden Ave Ste 2Wilmette, IL 60091-2883

Phone(412) 715-6534

Sole ProprietorYes

Enumeration DateFebruary 19, 2015

✔ NPI 1104218627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071-009037

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

400 LINDEN AVE STE 2, Wilmette, IL 60091

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

John Knapp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 11, 2024 through March 11, 2028.

Opt-Out Effective DateMarch 11, 2024

Opt-Out In Effect ThroughMarch 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR PSYCHODYNAMIC PSYCHOTHERAPY, INC.

Psychologist (Clinical)

400 LINDEN AVE STE 2
WILMETTE, IL 60091

Cook County (847) 906-4303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Knapp's NPI number?

The NPI number for John Knapp is 1104218627. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is John Knapp located?

John Knapp practices at 400 Linden Ave Ste 2, Wilmette, IL 60091. The listed phone number is (412) 715-6534.

What is John Knapp's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is John Knapp enrolled in Medicare?

No. John Knapp has opted out of Medicare through March 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for John Knapp was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.