Provider Demographics
NPI:1043427974
Name:POPKIN, JOYCE G (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:G
Last Name:POPKIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:HILGEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:22 PAUL REVERE LN
Mailing Address - Street 2:
Mailing Address - City:CENTERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11721-1610
Mailing Address - Country:US
Mailing Address - Phone:631-261-6593
Mailing Address - Fax:
Practice Address - Street 1:22 PAUL REVERE LN
Practice Address - Street 2:
Practice Address - City:CENTERPORT
Practice Address - State:NY
Practice Address - Zip Code:11721-1610
Practice Address - Country:US
Practice Address - Phone:631-261-6593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009411-1103TC0700X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool