KELLY SOPCHAK (NPI# 1083190284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083190284 |
| Entity Type | Individual |
| Full Name | KELLY SOPCHAK |
| Credential | PH.D |
| Practice Address |
411 Oak St Cincinnati OH 45219-2504 |
| Practice Telephone | 5139841800 |
| Practice Fax Number | 5139844909 |
| Mailing Telephone | 5139841800 |
| Mailing Fax Number | 5139844909 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 36945 | TX | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
70461 | TX | Behavioral Health & Social Service Providers |
| Street Address |
411 OAK ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009907 | Denise Anne Salisbury | Nurse Practitioner | 411 Oak St, Sterling Medical Associates, Attn: Credentials, Cincinnati, OH 45219-2598 | 2005-11-09 |
| 1154982403 | Dee Ann Moore Schaer | Speech-Language Pathologist | 411 Oak St, Cincinnati, OH 45219-2504 | 2019-06-27 |
| 1871056887 | Shelly Nel Odom | Social Worker | 411 Oak St, Cincinnati, OH 45219-2504 | 2019-04-08 |
| 1164988630 | Irene Cabalic Catalan | Pharmacist | 411 Oak St, Cincinnati, OH 45219-2504 | 2019-02-20 |
| 1841789765 | Corbin Arberg | Speech-Language Pathologist | 411 Oak St, Cincinnati, OH 45219-2504 | 2018-05-07 |
| 1356845549 | Jan Felton Mcgahee | Dental Assistant | 411 Oak St, Cincinnati, OH 45219-2504 | 2018-03-21 |
| 1841792579 | Candace Priest | Registered Nurse | 411 Oak St, Cincinnati, OH 45219-2504 | 2018-03-08 |
| 1447751839 | Zobaer Abedin | Respiratory Therapist, Registered | 411 Oak St, Cincinnati, OH 45219-2504 | 2018-02-22 |
| 1932615721 | Roxanna Medrano | Nurse Practitioner | 411 Oak St, Cincinnati, OH 45219-2504 | 2017-12-16 |
| 1679087373 | Daniel Beer | Dietitian, Registered | 411 Oak St, Cincinnati, OH 45219-2504 | 2017-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896711 | Shalin Shah | Psychologist | 2312 Ohio Ave Apt 131, Cincinnati, OH 45219-1630 | 2020-09-16 |
| 1669036299 | Kate Nolan Meister | Psychologist | 3333 Burnet Ave, Ml 3014, Cincinnati, OH 45229-3026 | 2019-04-29 |
| 1285104133 | Brynheld Martinez Zavras | Psychologist | 235 Mary Crest Dr, Cincinnati, OH 45237-1642 | 2018-12-03 |
| 1316463789 | Steven D Nichols Phd LLC | Psychologist | 3200 Linwood Ave Ste 2, Cincinnati, OH 45226-1274 | 2017-08-17 |
| 1255868493 | Shannon L Brothers | Psychologist | 3333 Burnet Ave Ml3015, Cincinnati, OH 45229-4522 | 2017-05-18 |
| 1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
| 1780056028 | Harry Barnes | Psychologist | 1547 Woodbridge Ct, Cincinnati, OH 45240-1567 | 2015-10-27 |
| 1275942658 | Melissa Jensen | Psychologist | 11550 Winton Rd Dept 100, Cincinnati, OH 45240-2355 | 2014-08-11 |
| 1326453820 | Meghan Eileen Mcgrady | Psychologist | 3333 Burnet Ave # Mlc7039, Cincinnati, OH 45229-3026 | 2014-06-24 |
| 1982014262 | Bryan Krabbe | Psychologist | 158 Dorsey St, Cincinnati, OH 45202-8908 | 2014-05-07 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.