Provider Demographics
NPI:1821703083
Name:DOCPOP, LLC
Entity Type:Organization
Organization Name:DOCPOP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAYNA
Authorized Official - Middle Name:JENNY
Authorized Official - Last Name:POPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:240-354-2947
Mailing Address - Street 1:8161 MAPLE LAWN BLVD STE 430
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2571
Mailing Address - Country:US
Mailing Address - Phone:240-354-2947
Mailing Address - Fax:906-224-2079
Practice Address - Street 1:8161 MAPLE LAWN BLVD STE 430
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2571
Practice Address - Country:US
Practice Address - Phone:240-354-2947
Practice Address - Fax:906-224-2079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1538621768Medicaid