Individual provider Active NPI

Sally Dodd Popper, PH.D.

  • Psychologist
  • Kansas City, MO
National Provider Identifier
1104870369
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1999138460 Issued in MO
Practice address
4218 Roanoke Rd
Suite 220
Kansas City, MO 64111-3198
Phone
(816) 960-7111
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1999138460 MO Primary
Psychologist 103T00000X 1271 KS

Addresses

Primary practice location

4218 Roanoke Rd
Suite 220
Kansas City, MO 64111-3198

Mailing address

4218 Roanoke Rd
Suite 220
Kansas City, MO 64111-3198
Phone (816) 960-7111

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1999138460MOMDPsychologist
1271KSMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104870369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 ROANOKE RD",
            "address_2": "SUITE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113198",
            "telephone_number": "816-960-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 ROANOKE RD",
            "address_2": "SUITE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113198",
            "telephone_number": "816-960-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPER",
        "first_name": "SALLY",
        "middle_name": "DODD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "1999138460",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.