Active NPI
Susan Anne Ropacki, PH.D.
- Clinical Neuropsychologist
- Palo Alto, CA
National Provider Identifier
1437439346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 21224
- Practice address
- 3801 Miranda Avenue
VA Palo Alto Health Care System
Palo Alto, CA 94304 - Phone
- (650) 493-5000
- Fax
- (650) 852-3445
- NPI assigned
- Aug 23, 2011
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 21224 | CA | Primary |
Addresses
Primary practice location
3801 Miranda Avenue
VA Palo Alto Health Care System
Palo Alto, CA 94304
Mailing address
3801 Miranda Avenue
VA Palo Alto Health Care System
Palo Alto, CA 94304
Phone (650) 493-5000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21224 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1437439346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 MIRANDA AVENUE",
"address_2": "VA PALO ALTO HEALTH CARE SYSTEM",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-493-5000",
"fax_number": "650-852-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 MIRANDA AVENUE",
"address_2": "VA PALO ALTO HEALTH CARE SYSTEM",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-493-5000",
"fax_number": "650-852-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROPACKI",
"first_name": "SUSAN",
"middle_name": "ANNE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "21224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.