JESSICA POPHAM (NPI# 1508489188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508489188 |
| Entity Type | Individual |
| Full Name | JESSICA POPHAM |
| Gender | Female |
| Credential | LMFT |
| Practice Address | 1437 Dewey St Hollywood FL 33020-6136 |
| Practice Telephone | 8138335175 |
| Mailing Telephone | 8138335175 |
| Certification Date | 2020-05-18 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MT3820 | FL | Behavioral Health & Social Service Providers |
| Street Address | 1437 DEWEY ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174111660 | Advanced Global Healthcare, Inc | Meals | 2031 Harrison St, Hollywood, FL 33020 | 2021-01-09 |
| 1508454190 | Engelberto J Bolanos | Hearing Instrument Specialist | 114 N 46th Ave, Hollywood, FL 33021-6602 | 2021-01-08 |
| 1821686676 | Irian Consuelo Salgado | Case Manager/Care Coordinator | 6460 Sheridan St, Hollywood, FL 33024-4139 | 2021-01-07 |
| 1275120768 | Maria Diora Galan | Registered Nurse | 7956 N Silverado Cir, Hollywood, FL 33024-8389 | 2020-12-30 |
| 1346837812 | Balanced Mind Integrative Care, LLC | Nurse Practitioner · Psych/Mental Health | 3440 Hollywood Blvd Ste 415, Hollywood, FL 33021-6933 | 2020-12-30 |
| 1003403452 | Hollywood Medical and Rehabilitation | Chiropractor | 4700 Sheridan St Ste B, Hollywood, FL 33021-3416 | 2020-12-30 |
| 1437746062 | O'Hara Tommie | Psychologist · Addiction (Substance Use Disorder) | 5701 Sheridan St, Hollywood, FL 33021-3241 | 2020-12-29 |
| 1548857477 | Stevenson Alexis | Occupational Therapist | 7431 Arthur St, Hollywood, FL 33024-5320 | 2020-12-27 |
| 1376139683 | Niyer Jessel Caballero | Social Worker | 4300 Sheridan St Apt 238, Hollywood, FL 33021-3527 | 2020-12-21 |
| 1184211443 | Marine Samuel | Case Manager/Care Coordinator | 5612 Taylor St, Hollywood, FL 33021-6251 | 2020-12-21 |
| Find all providers in HOLLYWOOD | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208304 | Zuwania Lynette Smith | 2312 Mayo St, Hollywood, FL 33020-6240 | 2020-09-02 | |
| 1760910541 | Angela Dipasquale | 450 N Park Road, Hollywood, FL 33021 | 2017-05-24 | |
| 1851827018 | Arlett Theresa Bagalue-Tracey | 450 North Park Road Ste. 600, Hollywood, FL 33021 | 2017-05-10 | |
| 1720527971 | Melissa Susac | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 | |
| 1801334719 | Sara Smith | 9711 Nw 37th St, Same As Above, Hollywood, FL 33024-8009 | 2017-02-10 | |
| 1033578109 | Jean Bienaime | 450 N Park Rd Ste 801, Hollywood, FL 33021-6920 | 2016-02-18 | |
| 1326356486 | Cecile Marie Dumornay | 6509 Flagler St, Hollywood, FL 33023-2127 | 2010-09-22 | |
| 1265753917 | Nancy Yvonne Paris | 3133 N. 34th Street, Hollywood, FL 33021 | 2010-06-17 | |
| 1043443963 | Rosie Goni · Rosie Goni | 3473 Emerald Oaks Dr, Hollywood, FL 33021-8444 | 2009-08-26 | |
| 1538322268 | Jason Wasser | 1930 Harrison St, Suite 205, Hollywood, FL 33020-7824 | 2008-07-02 | |
| Find all providers in HOLLYWOOD | ||||
| City | HOLLYWOOD |
| Zip Code | 33020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164755229 | Jessica Meek Popham | Pharmacist | 1430 Quintard Ave, Anniston, AL 36201-3845 | 2009-09-08 |
| 1699240853 | Rachel Popham | Counselor · Addiction (Substance Use Disorder) | 312 W 8th Ave, Spokane, WA 99204-2506 | 2018-10-03 |
| 1790203743 | Fang Chi Hu | Pharmacist | 7 Popham Rd, Scarsdale, NY 10583-3709 | 2017-08-30 |
| 1881862522 | Ray Popham Od | Optometrist | 206 Main St, Cedartown, GA 30125-3040 | 2008-02-15 |
| 1619341922 | Tyrun Ray | Dentist · Orthodontics and Dentofacial Orthopedics | 50 Popham Rd Ste 5/8, Scarsdale, NY 10583-4253 | 2015-11-24 |
| 1063552552 | Mohsen G Gam | Internal Medicine | 50 Popham Rd, Scarsdale, NY 10583-4253 | 2007-02-07 |
| 1053489104 | B. E. Popham Jr. | Optometrist | 12 Nelson St, Cartersville, GA 30120-2813 | 2006-11-30 |
| 1255742185 | Cvs Pharmacy | Pharmacist | 7 Popham Rd, Scarsdale, NY 10583-3709 | 2014-05-14 |
| 1629060728 | Charles Ray Popham | Optometrist | 206 Main St, Cedartown, GA 30125-3040 | 2005-08-16 |
| 1922307495 | Anita Raju | Pharmacist | 7 Popham Rd, Scarsdale, NY 10583-3709 | 2011-03-22 |
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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.