Organization Active NPI

David B. Coppel, PH.D., P.S.

  • Exercise & Sports Psychologist
  • Kirkland, WA
National Provider Identifier
1639393531
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exercise & Sports PsychologistTaxonomy code 103TE1100X
License
802 Issued in WA
Legal business name
DAVID B. COPPEL, PH.D., P.S.
Practice address
1104 Market St
Kirkland, WA 98033-5441
Phone
(425) 822-1988
Fax
(425) 889-8362
NPI assigned
Apr 12, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. David B. Coppel, PH.D.NPI 1578787560
Title
Clinical Psychologist
Phone
(425) 822-1988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 802 WA
Clinical Psychologist 103TC0700X 802 WA
Exercise & Sports Psychologist 103TE1100X 802 WA Primary

Addresses

Primary practice location

1104 Market St
Kirkland, WA 98033-5441

Mailing address

1104 Market St
Kirkland, WA 98033-5441
Phone (425) 822-1988

Other identifiers 2

IdentifierTypeStateIssuer
148927100000OtherWAPREMERA BLUE CROSS ID#
CO8141OtherWAREGENCE BLUE SHIELD ID#

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639393531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MARKET ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335441",
            "telephone_number": "425-822-1988",
            "fax_number": "425-889-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MARKET ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335441",
            "telephone_number": "425-822-1988",
            "fax_number": "425-889-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. COPPEL, PH.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COPPEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "425-822-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "WA",
            "license": "802",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "802",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "WA",
            "license": "802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS ID#",
            "identifier": "148927100000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD ID#",
            "identifier": "CO8141",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.