Individual provider Active NPI

Gregory K. Popcak, PH.D.

  • Clinical Social Worker
  • Steubenville, OH
National Provider Identifier
1588835284
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.00088536 Issued in OH
Practice address
234 Saint Joseph Dr
Steubenville, OH 43952-7988
Phone
(740) 266-6461
NPI assigned
Mar 20, 2008
Last updated
Mar 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.00088536 OH Primary

Addresses

Primary practice location

234 Saint Joseph Dr
Steubenville, OH 43952-7988

Mailing address

234 Saint Joseph Dr
Steubenville, OH 43952-7988
Phone (740) 266-6461

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

LicenseStateTypeSpecialty
I.00088536OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1588835284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SAINT JOSEPH DR",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439527988",
            "telephone_number": "740-266-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 SAINT JOSEPH DR",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439527988",
            "telephone_number": "740-266-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPCAK",
        "first_name": "GREGORY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.00088536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.