Healthcare Provider Details

I. General information

NPI: 1053292052
Provider Name (Legal Business Name): KNIGHT PSYCHOLOGICAL INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 S LINDSAY RD
GILBERT AZ
85297-1506
US

IV. Provider business mailing address

2562 E CLARK DR
GILBERT AZ
85297-6800
US

V. Phone/Fax

Practice location:
  • Phone: 602-830-2044
  • Fax:
Mailing address:
  • Phone: 480-202-1285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MADISON KNIGHT
Title or Position: PSYCHOLOGIST
Credential:
Phone: 480-202-1285