MEDICARE: DR. WALTER PIERCE KNAKE JR. PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	164	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	BWC 341493791-00	OTHER	OH	CLINICAL PSYCHOLOGIST
3	MAGELLAN 27059000	OTHER	OH	CLINICAL PSYCHOLOGIST

General Provider Information

NPI Number	:	1427051861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER PIERCE KNAKE JR. PH.D.

Provider Business Mailing Address
First Line	:	19801 SUSSEX RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-4916
Country	:	US
Telephone Number	:	216-561-1726
Fax Number	:	216-831-5804

Provider Business Practice Location Address
First Line	:	3659 S. GREEN RD.
Second Line	:	SUITE 119
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5715
Country	:	US
Telephone Number	:	216-831-0056
Fax Number	:	216-831-5804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/31/2011

Similar Medicare Providers

1528923463 — SCHMAUDER THERAPY SERVICES
Practice Location Address:

3659 GREEN RD STE 100
BEACHWOOD, OH
44122-5715

Practice Phone: 216-452-2838
Practice Fax: 216-635-9604

1376518985 — DR. RIMVYDAS AUGIS PH.D.
Practice Location Address:

3659 S GREEN RD STE 320
BEACHWOOD, OH
44122-5715

Practice Phone: 216-355-5257
Practice Fax:

1699744698 — DR. NANCY L RUBEL PH.D.
Practice Location Address:

3659 GREEN RD STE 100
BEACHWOOD, OH
44122-5715

Practice Phone: 216-462-0530
Practice Fax:

1063431765 — KAREN KREINBERG LISW
Practice Location Address:

3659 GREEN RD STE 208
BEACHWOOD, OH
44122-5715

Practice Phone: 216-462-0201
Practice Fax: 216-342-4155

1417978552 — DR. JONATHAN ISAACSON, INC.
Practice Location Address:

3659 GREEN RD STE 100
BEACHWOOD, OH
44122-5715

Practice Phone: 216-292-4500
Practice Fax: 216-373-0085

1346264371 — DR. JONATHAN JOSEPH ISAACSON PH.D.
Practice Location Address:

3659 GREEN RD STE 100
BEACHWOOD, OH
44122-5715

Practice Phone: 216-292-4500
Practice Fax: 216-373-0085

Directions to “ DR. WALTER PIERCE KNAKE JR. PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.