Alicia Koppy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

94907 Issued in CA

Practice address

4275 El Cajon Blvd Ste 101
San Diego, CA 92105-1293

Phone

(619) 283-9624

NPI assigned

Dec 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Alicia Blair Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cyti Health PC

  dba Cyti Psychological

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1679172290
  Medicare reassignment NPD

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407191018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 EL CAJON BLVD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051293",
            "telephone_number": "619-283-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 EL CAJON BLVD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051293",
            "telephone_number": "619-283-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPY",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alicia.koppy@saysandiego.org",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4275 El Cajon Blvd Ste 101",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921051293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "BLAIR",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Mary Kopko, M.D.
• Kopmed Management, Inc
• Alexis Christine Kopp, PA-C
• Franz John Kopp, M.D.
• Ava Kopperschlager
• Pamela Koraly, DC
• Kathy Korb
• Anthony Louis Korbar II, D.M.D.
• Yuliya Korchnoy, PHARM.D
• Betina Louka Kordahy

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.