Active NPI
Scott S Kopoian, PH.D.
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1568689370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY8014
- Practice address
- 2730 Wilshire Blvd
Suite 660
Santa Monica, CA 90403-4743 - Phone
- (310) 315-0429
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- 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 Psychologist | 103TC0700X | PSY8014 | CA | Primary |
Addresses
Primary practice location
2730 Wilshire Blvd
Suite 660
Santa Monica, CA 90403-4743
Mailing address
2730 Wilshire Blvd
Suite 660
Santa Monica, CA 90403-4743
Phone (310) 315-0429
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 |
|---|---|---|---|
| PSY8014 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Solutions Inc. | Current | Accepting new patients | |
| Aa Psychology PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Clackamas, OR
- NPI 1477178788
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1932975919
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568689370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "SUITE 660",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034743",
"telephone_number": "310-315-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD",
"address_2": "SUITE 660",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034743",
"telephone_number": "310-315-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPOIAN",
"first_name": "SCOTT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY8014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
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.