Individual provider Active NPI

Paulene B Popek

  • Psychoanalyst
  • Los Angeles, CA
National Provider Identifier
1922275635
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
PSY10386 Issued in CA
Practice address
10950 Sarbonne LN
Los Angeles, CA 90077-2234
Phone
(310) 472-2061
Fax
(310) 472-7563
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X PSY10386 CA Primary

Addresses

Primary practice location

10950 Sarbonne LN
Los Angeles, CA 90077-2234

Mailing address

10950 Sarbonne LN
Los Angeles, CA 90077-2234
Phone (310) 472-2061

Other names 1

  • Dr. Paulene B Popek Professional 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

State licenses

LicenseStateTypeSpecialty
PSY10386CAMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1922275635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 SARBONNE LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772234",
            "telephone_number": "310-472-2061",
            "fax_number": "310-472-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 SARBONNE LN",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900772234",
            "telephone_number": "310-472-2061",
            "fax_number": "310-472-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPEK",
        "first_name": "PAULENE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "PSY10386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULENE",
            "last_name": "POPEK",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.