Individual provider Active NPI

Radu Pop, PH.D.

  • Clinical Psychologist
  • Dallas, TX
National Provider Identifier
1225406176
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37071 Issued in TX
Practice address
3500 Oak Lawn Ave Ste 230
Dallas, TX 75219-4369
Phone
(469) 900-7310
NPI assigned
Sep 9, 2015
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 37071 TX
Clinical Psychologist 103TC0700X 37071 TX Primary

Addresses

Primary practice location

3500 Oak Lawn Ave Ste 230
Dallas, TX 75219-4369

Mailing address

3500 Oak Lawn Ave Ste 230
Dallas, TX 75219-4369
Phone (469) 900-7310

Other practice location 1

10300 N Central Expy
Dallas, TX 75231-8600
Phone (469) 333-0979

Other identifiers 1

IdentifierTypeStateIssuer
1225406176OtherTXNPPES

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
37071TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Counselingnow PLLC Current Accepting new patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Insight & Change Current Accepting new patients
Shaalon Joules PHD PLLC Clinical PastSince Aug 12, 2014 Accepting new patients

Locations

10300 N Central Expy
Dallas, TX 75231
Phone (214) 265-6501

3500 Oak Lawn Ave
Ste 230
Dallas, TX 75219
Phone (214) 305-2110

Interoperability endpoints

  • Direct secure messaging: radupop@tdh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1225406176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194369",
            "telephone_number": "469-900-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194369",
            "telephone_number": "469-900-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 N Central Expy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752318600",
            "country_code": "US",
            "telephone_number": "469-333-0979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POP",
        "first_name": "RADU",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "37071",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1225406176",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.