DOMENICA M KNUDSEN
NPI 1336109230
Psychologist - Clinical in Media, PA

Q: What is Domenica Knudsen's NPI number?

The NPI number for Domenica Knudsen is 1336109230. It was assigned to this individual provider in the NPPES registry on March 24, 2006. The provider is also known as Donna M Knudsen Psy D.

Q: What is Domenica Knudsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Domenica Knudsen was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 24, 2006PECOS EnrolledAccepts Medicare Assignment

280 N PROVIDENCE RD, MEDIA, PA 19063(610) 565-6843 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Domenica M Knudsen NPPES

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

DOMENICA M KNUDSEN (NPI 1336109230) is an individual clinical provider in Media, Pennsylvania, licensed in Pennsylvania (PS008547L) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1336109230

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDOMENICA M KNUDSEN

Location Address280 N PROVIDENCE RDMedia, PA 19063-3527

Mailing Address280 N Providence RdMedia, PA 19063-3527 · (610) 565-6843

Phone(610) 565-6843

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateMarch 24, 2006

Last NPPES UpdateJune 7, 2011

✔ NPI 1336109230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in PA · PS008547L✔ Licensed in DE · B1-0000679

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.

280 N PROVIDENCE RD, Media, PA 19063

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Other Names 1

Other Name (5)Donna M Knudsen Psy D

Other Identifiers 2

Medicare ID-Type Unspecified100025867DE · Medicare License

Medicare ID-Type Unspecified03663PA · Medicare License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Domenica M Knudsen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608939095

PECOS Enrollment IDI20100908001022

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

AMY B. YOUNG PSY.D.

Psychologist

280 N PROVIDENCE RD, SUITE 106
MEDIA, PA 19063

Delaware County (610) 529-1875

MS. DONNA MARIE LIU M.S., L.P.C, N.C.C.

Counselor (Professional)

280 N PROVIDENCE RD
MEDIA, PA 19063

Delaware County (484) 442-0064

SUTERA & JONES SURGICAL PODIATRY, P.C.

Podiatrist (Primary Podiatric Medicine)

280 N PROVIDENCE RD, UPPER LEVEL
MEDIA, PA 19063

Delaware County (610) 566-4383

MARY ELLEN DIMATTEO R.D.

Dietitian, Registered

280 N PROVIDENCE RD
MEDIA, PA 19063

Delaware County (610) 891-6609

MRS. JUDITH ANNE HAMMET-KELLY

Psychologist

280 N PROVIDENCE RD, SUITE 104
MEDIA, PA 19063

Delaware County (484) 844-1166

MS. MARYROSE W SMITH LCSW

Social Worker (Clinical)

280 N PROVIDENCE RD
MEDIA, PA 19063

Delaware County (610) 566-3032

DR. EMILY KRANZLEY KILLAR PSY.D.

Clinical Neuropsychologist

280 N PROVIDENCE RD, SUITE 6
MEDIA, PA 19063

Delaware County (610) 566-0501

DR. MILDRED VIRGINIA THOMPSON PH.D.

Psychologist (Clinical)

280 N PROVIDENCE RD
MEDIA, PA 19063

Delaware County (610) 566-2206

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 Domenica Knudsen's NPI number?

The NPI number for Domenica Knudsen is 1336109230. It was assigned to this individual provider in the NPPES registry on March 24, 2006. The provider is also known as Donna M Knudsen Psy D.

Where is Domenica Knudsen located?

Domenica Knudsen practices at 280 N Providence Rd, Media, PA 19063. The listed phone number is (610) 565-6843.

What is Domenica Knudsen's specialty?

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

Is Domenica Knudsen enrolled in Medicare?

Yes. Domenica Knudsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Domenica Knudsen was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.