Nicholas Stephen Kopp

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06528 Issued in MD

Practice address

630 W Fayette St
Baltimore, MD 21201-1543

Phone

(410) 328-2207

Fax

(410) 328-9233

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifespan Behavioral Health Services PCGroup PAC ID 4082041637, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifespan Behavioral Health Services PC

  • Psychiatry Physician
  • Greenbelt, MD
  • NPI 1881233872

  DC

  Medicare reassignment Care Compare group NPD
• Hefuna Mental Health Wellness LLC

  • Psychiatry Physician
  • Gaithersburg, MD
  • NPI 1629470547

  DC

  Medicare reassignment NPD
• Maryland Group Faculty Practice LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1104036300
  Medicare reassignment NPD
• Lifespan Behavioral Health Services PC

  • Psychiatry Physician
  • Frederick, MD
  • NPI 1427677061
  Medicare reassignment
• Lifespan Behavioral Health Services PC

  • Psychiatry Physician
  • Olney, MD
  • NPI 1801415443
  NPD
• University Care

  • Health Service Psychologist
  • Baltimore, MD
  • NPI 1629210166
  NPD (past)
• University Care LLC

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1497760276
  NPD (past)
• University of Maryland Psychiatry Associates, PA

  dba Psychiatry Associates, PA

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1649292699
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720097132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64277",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644277",
            "telephone_number": "410-328-7037",
            "fax_number": "410-328-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011543",
            "telephone_number": "410-328-2207",
            "fax_number": "410-328-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "NICHOLAS",
        "middle_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Kopel, LCSW-C
• Dan Chaim Kopeliovich, MD DMD
• Jerome N Kopelman, MD
• Caprice Kopp
• Katherine Olivia Kopp
• Rebecca Kopp, LCSW-C
• Susan Podraza Kopunek, CRNP
• Korangy Radiology & Assoc. PA (Baltimore Imaging Centers)
• Orly C Korat, M.D.
• Karen Marie Korch Black, PHARM.D

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.