Active NPI
Reid Jonathan Kopel, PH.D.
- Psychologist
- Pleasanton, CA
National Provider Identifier
1902973340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 9820
- Practice address
- 7601 Stoneridge Dr
Dept of Psychiatry
Pleasanton, CA 94588-4501 - Phone
- (925) 857-5453
- Fax
- (925) 847-5628
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 9820 | CA | Primary |
Addresses
Primary practice location
7601 Stoneridge Dr
Dept of Psychiatry
Pleasanton, CA 94588-4501
Mailing address
7601 Stoneridge Dr
Dept of Psychiatry
Pleasanton, CA 94588-4501
Phone (925) 857-5453
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 9820 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902973340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 STONERIDGE DR",
"address_2": "DEPT OF PSYCHIATRY",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884501",
"telephone_number": "925-857-5453",
"fax_number": "925-847-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 STONERIDGE DR",
"address_2": "DEPT OF PSYCHIATRY",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884501",
"telephone_number": "925-857-5453",
"fax_number": "925-847-5628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPEL",
"first_name": "REID",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 9820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.