Provider Demographics
NPI:1043687163
Name:DOONERAK PSYCHOLOGICAL INC.
Entity type:Organization
Organization Name:DOONERAK PSYCHOLOGICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:POPEJOY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:305-527-6637
Mailing Address - Street 1:2500 NE 135TH ST
Mailing Address - Street 2:# 602
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3591
Mailing Address - Country:US
Mailing Address - Phone:305-527-6637
Mailing Address - Fax:
Practice Address - Street 1:2000 S DIXIE HWY
Practice Address - Street 2:206 A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2456
Practice Address - Country:US
Practice Address - Phone:305-527-6637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5654103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty