Individual provider Active NPI

Ronnie Kopp Wiener, PH.D.

  • Marriage & Family Therapist
  • Wharton, NJ
National Provider Identifier
1861553091
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00121100 Issued in NJ
Practice address
8204 Polk Drive
Wharton, NJ 07885-4202
Phone
(973) 586-3022
NPI assigned
Dec 12, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FI00121100 NJ Primary

Addresses

Primary practice location

8204 Polk Drive
Wharton, NJ 07885-4202

Mailing address

8204 Polk Drive
Wharton, NJ 07885-4202
Phone (973) 586-3022

Other names 1

  • Ronnie Goldstein Kopp Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37FI00121100NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1861553091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 POLK DRIVE",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078854202",
            "telephone_number": "973-586-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 POLK DRIVE",
            "city": "WHARTON",
            "state": "NJ",
            "postal_code": "078854202",
            "telephone_number": "973-586-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP WIENER",
        "first_name": "RONNIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00121100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONNIE",
            "last_name": "KOPP",
            "middle_name": "GOLDSTEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wharton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.