Active NPI
Ariella Vered Popple, PSYD
- Clinical Psychologist
- Albany, CA
National Provider Identifier
1619162310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 27531
- Practice address
- 1035 San Pablo Ave Ste 9
Albany, CA 94706-2277 - Phone
- (510) 409-5222
- NPI assigned
- Sep 6, 2007
- 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 Psychologist | 103TC0700X | 27531 | CA | Primary |
Addresses
Primary practice location
1035 San Pablo Ave Ste 9
Albany, CA 94706-2277
Mailing address
913 Adams St Apt C
Albany, CA 94706-2057
Other names 1
- Ms. Ariella Vered Heidecker
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27531 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avant Inpatient Services Medical Group, Inc | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Castro Valley, CA
- NPI 1336106897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1619162310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 ADAMS ST APT C",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 SAN PABLO AVE STE 9",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062277",
"telephone_number": "510-409-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPPLE",
"first_name": "ARIELLA",
"middle_name": "VERED",
"name_prefix": "Ms.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ARIELLA",
"last_name": "HEIDECKER",
"middle_name": "VERED",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.