Active NPI
Stephen M Popkin, M.D.
- Psychiatry Physician
- Denver, CO
National Provider Identifier
1326004797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 22521
- Practice address
- 425 S Cherry St
Suite 630
Denver, CO 80246-1233 - Phone
- (303) 759-3215
- Fax
- (303) 771-3765
- NPI assigned
- Apr 25, 2006
- Last updated
- Sep 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 22521 | CO | Primary |
Addresses
Primary practice location
425 S Cherry St
Suite 630
Denver, CO 80246-1233
Mailing address
425 S Cherry St
Suite 630
Denver, CO 80246-1233
Phone (303) 759-3215
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01225218 | Medicaid | CO | |
| 73431 | Other | CO | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101220000319 | CO | Practitioner - Psychiatry | 4688862584 | Practice locations: Denver, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Northwestern University Feinberg Medical School, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
425 S Cherry St
Suite 630
Denver, CO 80246-1233
Phone (303) 759-3215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22521 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judy Pomerantz, Psy.D., P.C. | Past | Accepting new patients | |
| Colorado Professional Psychological Group, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Denver, CO
- NPI 1992893598
-
- Clinical Psychologist
- Glendale, CO
- NPI 1043513617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1326004797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 S CHERRY ST",
"address_2": "SUITE 630",
"city": "DENVER",
"state": "CO",
"postal_code": "802461233",
"telephone_number": "303-759-3215",
"fax_number": "303-771-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S CHERRY ST",
"address_2": "SUITE 630",
"city": "DENVER",
"state": "CO",
"postal_code": "802461233",
"telephone_number": "303-759-3215",
"fax_number": "303-771-3765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPKIN",
"first_name": "STEPHEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "22521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01225218",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "73431",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.