Active NPI
Ann B Loper, PHD
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1932107968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001074
- Practice address
- 417 Emmet Street, South
Charlottesville, VA 22904-4270 - Phone
- (434) 924-7034
- Fax
- (434) 924-4621
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001074 | VA | Primary |
Addresses
Primary practice location
417 Emmet Street, South
Charlottesville, VA 22904-4270
Mailing address
417 Emmet Street, South
P.O. Box 400270
Charlottesville, VA 22904-4270
Phone (434) 924-7034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007706367 | Medicaid | VA |
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 |
|---|---|---|---|
| 0810001074 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1932107968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 EMMET STREET, SOUTH",
"address_2": "P.O. BOX 400270",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229044270",
"telephone_number": "434-924-7034",
"fax_number": "434-924-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 EMMET STREET, SOUTH",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229044270",
"telephone_number": "434-924-7034",
"fax_number": "434-924-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPER",
"first_name": "ANN",
"middle_name": "B",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007706367",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.