Joan Crook Soper, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1746 Issued in CO

Practice address

613 Walnut St
Boulder, CO 80302-5031

Phone

(303) 443-1223

Fax

(303) 473-9153

NPI assigned

May 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1962460667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025031",
            "telephone_number": "303-443-1223",
            "fax_number": "303-473-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025031",
            "telephone_number": "303-443-1223",
            "fax_number": "303-473-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPER",
        "first_name": "JOAN",
        "middle_name": "CROOK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07017460",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Songfield, M.A.
• Sonia Mercedes Veras
• Sonja Stilp, M.D., P.C.
• Sandra S Sonoda, RN
• Ernest T. Soper III, PH.D.
• Sophono Inc.
• Lois Elaine Sorlie, LCSW
• Luann Sosa
• Teresa Ariel Sosa
• Vanessa Sosa

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.