Provider Demographics
NPI:1598878530
Name:SHEEHY-KNIGHT, JENNIFER L (PHD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:L
Last Name:SHEEHY-KNIGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:KNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1600 7TH AVENUE SOUTH
Mailing Address - Street 2:CHILDREN'S BEHAVIORAL HEALTH, 500ACC
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233
Mailing Address - Country:US
Mailing Address - Phone:205-939-9193
Mailing Address - Fax:205-939-9949
Practice Address - Street 1:1600 7TH AVENUE SOUTH
Practice Address - Street 2:CHILDREN'S BEHAVIORAL HEALTH, 500ACC
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-939-9193
Practice Address - Fax:205-939-9949
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1264103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4992Medicaid
AL511-05834OtherBCBS
AL118609Medicaid
AL511-05833OtherBCBS
AL511-08048OtherFEDERAL BCBS
AL118607Medicaid
AL1598878530OtherTRICARE SOUTH
AL511-10077OtherFEDERAL BCBS
AL51519734SHEOtherBC/BS PROVIDER, PSYCHOLOG