Individual provider Active NPI

Joellen Popma, PH.D.

  • Counseling Psychologist
  • Rochester, NY
National Provider Identifier
1083055354
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
8252726 Issued in NY
Practice address
165 Meadowbrook Rd
Rochester, NY 14620-3031
Phone
(412) 999-0650
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 8252726 NY Primary
Counseling Psychologist 103TC1900X PS-008741-L PA

Addresses

Primary practice location

165 Meadowbrook Rd
Rochester, NY 14620-3031

Mailing address

PO Box 270356
738 Library Road
Rochester, NY 14627-0356
Phone (585) 275-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8252726NYMDCounseling Psychologist
PS-008741-LPAMDCounseling Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1083055354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270356",
            "address_2": "738 LIBRARY ROAD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146270356",
            "telephone_number": "585-275-3113",
            "fax_number": "585-442-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MEADOWBROOK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203031",
            "telephone_number": "412-999-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPMA",
        "first_name": "JOELLEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "8252726",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS-008741-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.