Individual provider Active NPI

Peter Popejoy, PHD

  • Psychologist
  • Miami, FL
National Provider Identifier
1497801898
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5654 Issued in FL
Practice address
2000 S Dixie Hwy
Suite 206 a
Miami, FL 33133-2456
Phone
(305) 527-6637
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5654 FL Primary

Addresses

Primary practice location

2000 S Dixie Hwy
Suite 206 a
Miami, FL 33133-2456

Mailing address

2500 NE 135TH St
#602
North Miami, FL 33181-3591
Phone (305) 527-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Doonerak Psychological Inc. CurrentSince Aug 1, 2015 Accepting new patients

Locations

2000 S Dixie Hwy
Ste 206A
Miami, FL 33133
Phone (305) 527-6637

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1497801898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NE 135TH ST",
            "address_2": "#602",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331813591",
            "telephone_number": "305-527-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S DIXIE HWY",
            "address_2": "SUITE 206 A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332456",
            "telephone_number": "305-527-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPEJOY",
        "first_name": "PETER",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.