Kristin Kopple, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018288 Issued in PA

Practice address

1315 Walnut St Ste 1700
Philadelphia, PA 19107-4717

Phone

(215) 850-3490

Fax

(215) 545-8496

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1215240395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST STE 1700",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074717",
            "telephone_number": "215-850-3490",
            "fax_number": "215-545-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST STE 1700",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074717",
            "telephone_number": "215-850-3490",
            "fax_number": "215-545-8496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Walnut St Ste 1004",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191074721",
            "country_code": "US",
            "telephone_number": "215-567-1111 x43",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Walnut St Ste 803",
            "address_purpose": "LOCATION",
            "city": "Phila",
            "state": "PA",
            "postal_code": "191074704",
            "country_code": "US",
            "telephone_number": "215-850-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPPLE",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Kopp, MFT
• Olivia Kopp
• Max Koppel, M.D.
• Koppisch Psychotherapy, LLC
• David Koppisch, MSW
• Marijan Koprivanac, M.D.
• Sharon J. Kopyc
• Korah Consulting, Inc
• Koran Watson Haven of Health LLC
• Eldoe Arthumngal Korathu, LCSW

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.