Active NPI
Danielle Sopko-Reeves, ED.S.
- School Psychologist
- Painesville, OH
National Provider Identifier
1366842387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH1273344
- Practice address
- 382 Blackbrook Rd
Painesville, OH 44077-1294 - Phone
- (440) 350-2563
- Fax
- (440) 350-2566
- NPI assigned
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OH1273344 | OH | Primary |
Addresses
Primary practice location
382 Blackbrook Rd
Painesville, OH 44077-1294
Mailing address
382 Blackbrook Rd
Painesville, OH 44077-1294
Phone (440) 350-2563
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH1273344 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1366842387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 BLACKBROOK RD",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440771294",
"telephone_number": "440-350-2563",
"fax_number": "440-350-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 BLACKBROOK RD",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440771294",
"telephone_number": "440-350-2563",
"fax_number": "440-350-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPKO-REEVES",
"first_name": "DANIELLE",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-27",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH1273344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.