Active NPI
Susan Popovich, MA
- Specialist
- Tempe, AZ
National Provider Identifier
1346368784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2545792
- Practice address
- 8700 S Kyrene Rd
Tempe, AZ 85284-2108 - Phone
- (480) 783-1885
- Fax
- (480) 759-5776
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2545792 | AZ | Primary |
Addresses
Primary practice location
8700 S Kyrene Rd
Tempe, AZ 85284-2108
Mailing address
8700 S Kyrene Rd
Tempe, AZ 85284-2108
Phone (480) 783-1885
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2545792 | AZ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346368784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 S KYRENE RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842108",
"telephone_number": "480-783-1885",
"fax_number": "480-759-5776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 S KYRENE RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842108",
"telephone_number": "480-783-1885",
"fax_number": "480-759-5776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOVICH",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "2545792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.