Acacia Psychiatric Services PC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

224044 Issued in NY

Legal business name

ACACIA PSYCHIATRIC SERVICES PC

Doing business as

Dennis Popeo, MD

Practice address

250 W 24TH St
Apt 5BW
New York, NY 10011-1703

Phone

(646) 584-7109

Fax

(914) 462-3599

NPI assigned

Mar 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Dennis M Popeo, MD

Title

Ceo

Phone

(646) 584-7109

Specialties & licenses 1

Addresses

Other names 1

• Dennis Popeo, MD Doing business as

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1952763963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WEST 36TH STREET",
            "address_2": "APT 5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "646-584-7109",
            "fax_number": "914-462-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 24TH ST",
            "address_2": "APT 5BW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111703",
            "telephone_number": "646-584-7109",
            "fax_number": "914-462-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "POPEO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-584-7109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NY",
            "license": "224044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis Popeo, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in New York, NY
• Providers in New York, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.