Individual provider Active NPI

Anita Dawne Hopmann, PSYD(C)

  • Student in an Organized Health Care Education/Training Program
  • Brockton, MA
National Provider Identifier
1760219935
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
19 Riverside Ave
Brockton, MA 02301-6898
Phone
(508) 690-6069
NPI assigned
Sep 19, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

19 Riverside Ave
Brockton, MA 02301-6898

Mailing address

9 Cypress Ter
West Roxbury, MA 02132-5014
Phone (832) 623-1013

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Light Mental Health Clinic, Inc CurrentSince Feb 23, 2025 Accepting new patients
Leading Light Behavioral Health, Inc CurrentSince Sep 21, 2025 Accepting new patients

Locations

19 Riverside Ave
Brockton, MA 02301
Phone (508) 690-6069

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1760219935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CYPRESS TER",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021325014",
            "telephone_number": "832-623-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 RIVERSIDE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023016898",
            "telephone_number": "508-690-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPMANN",
        "first_name": "ANITA",
        "middle_name": "DAWNE",
        "credential": "PSYD(C)",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.