Healthcare Provider Details

I. General information

NPI: 1861817157
Provider Name (Legal Business Name): THOMAS MCKNIGHT LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2014
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E SAN JACINTO AVE
PERRIS CA
92571-2833
US

IV. Provider business mailing address

450 E SAN JACINTO AVE
PERRIS CA
92571-2833
US

V. Phone/Fax

Practice location:
  • Phone: 909-206-6670
  • Fax:
Mailing address:
  • Phone: 909-206-6670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number99271
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: