Provider Demographics
NPI:1528699626
Name:KNIGHT, CAROLINA BORGES (PSYD)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:BORGES
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5999
Mailing Address - Country:US
Mailing Address - Phone:916-665-4251
Mailing Address - Fax:
Practice Address - Street 1:2621 CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5999
Practice Address - Country:US
Practice Address - Phone:916-665-4251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health