Provider Demographics
NPI:1881974640
Name:MORALES KNIGHT, LUIS FELIPE (PHD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:FELIPE
Last Name:MORALES KNIGHT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:LUIS
Other - Middle Name:FELIPE
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2201 OUTLET CENTER DR STE 600
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036
Mailing Address - Country:US
Mailing Address - Phone:805-493-3618
Mailing Address - Fax:
Practice Address - Street 1:2201 OUTLET CENTER DR STE 600
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036
Practice Address - Country:US
Practice Address - Phone:714-694-3943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-25
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X, 103TB0200X, 103TC2200X, 103TF0000X, 103TH0100X
CAPSY25916103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47037660631Medicaid
NE10026139700Medicaid
NE47037660624Medicaid