Koppisch Psychotherapy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KOPPISCH PSYCHOTHERAPY, LLC

Practice address

822 Pine St
Philadelphia, PA 19107-6187

Phone

(215) 219-3950

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

David Koppisch, LCSWNPI 1093433575

Title

Owner

Phone

(215) 219-3950

Specialties & licenses 1

Addresses

Other names 1

• Koppisch Psychotherapy, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Koppisch, MSW

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1093433575
  NPD Authorized official

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1659182194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S 44TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044705",
            "telephone_number": "215-219-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076187",
            "telephone_number": "215-219-3950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 S 44th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044705",
            "country_code": "US",
            "telephone_number": "215-219-3950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KOPPISCH PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "KOPPISCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-219-3950",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koppisch Psychotherapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anatoliy Kopp, DMD
• Emily Allison Kopp
• Marianna Kopp, MFT
• Olivia Kopp
• Max Koppel, M.D.
• David Koppisch, MSW
• Kristin Kopple, PH.D.
• Marijan Koprivanac, M.D.
• Sharon J. Kopyc
• Korah Consulting, Inc

• Adult Mental Health Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.