DR. SALLY DODD POPPER (NPI# 1104870369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104870369 |
| Entity Type | Individual |
| Full Name | DR. SALLY DODD POPPER |
| Credential | PH.D. |
| Practice Address |
4218 Roanoke Rd Suite 220 Kansas City MO 64111-3198 |
| Practice Telephone | 8169607111 |
| Mailing Telephone | 8169607111 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1271 | KS | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 1999138460 | MO | Behavioral Health & Social Service Providers |
| Street Address |
4218 ROANOKE RD SUITE 220 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164809877 | Craig Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4218 Roanoke Rd, Suie 203, Kansas City, MO 64111-3198 | 2015-05-01 |
| 1225439904 | Westport Plaza Medical Group, Inc | Specialist | 4218 Roanoke Rd, Suite 210, Kansas City, MO 64111-3198 | 2014-09-11 |
| 1689010407 | Brenda Kay Ulmer | Social Worker | 4218 Roanoke Rd, Ste. 1000, Kansas City, MO 64111-3198 | 2013-05-20 |
| 1538107370 | Kelli Rae Miesse | Counselor | 4218 Roanoke Rd, Ste 220, Kansas City, MO 64111-3198 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| 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 |
|---|---|---|---|---|
| 1154941359 | Kimberly Hinman | Psychologist | 17 W 66th St, Kansas City, MO 64113-1825 | 2020-04-17 |
| 1174868715 | Francis Luke Bradley | Psychologist | 1106 Nw South Shore Dr, Kansas City, MO 64151-1440 | 2012-12-08 |
| 1073877957 | Skylar Bellinger | Psychologist | 3901 Rainbow Blvd, Msn 4003, Kumed, Cchd, Kansas City, KS 66160-0001 | 2012-06-26 |
| 1710268685 | Leigh Anne Randa | Psychologist | 6000 N Chatham Ave, Kansas City, MO 64151-2457 | 2011-09-06 |
| 1245462456 | Kimberly J Langrehr | Psychologist | 5100 Rockhill Rd, Umkc School of Education, Kansas City, MO 64110-2446 | 2009-08-20 |
| 1861697674 | Heather Lynn Noble | Psychologist | 4825 Troost St, Suite 206, Kansas City, MO 64110-2499 | 2007-06-20 |
| 1578779039 | Larry Roger Bethel | Psychologist | 3619 Broadway St, Suite 12, Kansas City, MO 64111-2503 | 2007-05-14 |
| 1528270683 | Richard Abloff | Psychologist | 6306 Walnut St, Kansas City, MO 64113 | 2007-05-03 |
| 1184842775 | Mary Lynn Warmbrodt | Psychologist | 14920 E 49th Ter, Kansas City, MO 64136-1305 | 2007-04-22 |
| 1306977426 | Bruce K. Manley | Psychologist | 8350 N Saint Clair Ave, Suite 250, Kansas City, MO 64151-5100 | 2007-03-08 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.