Timothy Jon Popanz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2024 Issued in WA

Practice address

818 12TH Ave
Seattle, WA 98122-4410

Phone

(206) 329-5255

Fax

(206) 726-1878

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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 and National Provider Directory roles.

• Timothy Popanz, PHD, PLLC

  • Psychologist
  • Seattle, WA
  • NPI 1528846615
  NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750443396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224410",
            "telephone_number": "206-329-5255",
            "fax_number": "206-726-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224410",
            "telephone_number": "206-329-5255",
            "fax_number": "206-726-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPANZ",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7085475",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Poon, DPT
• Tzevan Poon, MD
• Fnu Poonamdeep Kaur
• Dana M Popa
• Katerina A Popach
• Joy Alicia Pope, OTR/L
• Juliana Fleming Pope, M.S.
• Lamaria Pope
• Mary Katherine Pope, PH.D.
• Amanda Popek, PHARMD

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.