DR. TIMOTHY JON POPANZ PH.D. - NPI 1750443396

Q: What is Timothy Popanz's NPI number?

The NPI number for Timothy Popanz is 1750443396. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Timothy Popanz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Timothy Popanz enrolled in Medicare?

No. Timothy Popanz has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Timothy Popanz was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Timothy Jon Popanz Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY JON POPANZ PH.D. (NPI 1750443396) is an individual clinical provider in Seattle, Washington, licensed in Washington (2024) and active in the NPI registry since December 2006. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1750443396

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TIMOTHY JON POPANZCredential: PH.D.

Location Address818 12TH AVESeattle, WA 98122-4410

Mailing Address818 12th AveSeattle, WA 98122-4410 · (206) 329-5255 · Fax (206) 726-1878

Phone(206) 329-5255

Fax(206) 726-1878

Sole ProprietorYes

Enumeration DateDecember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1750443396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · 2024

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

818 12TH AVE, Seattle, WA 98122

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Other Identifiers 2

Medicare ID-Type UnspecifiedAB00805WA

Medicaid7085475WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Timothy Jon Popanz Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE ALEXA SCANTLIN PSY.D.

Psychologist (Clinical)