Healthcare Provider Details

I. General information

NPI: 1144890211
Provider Name (Legal Business Name): ALEXANDRA POPA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2507 BROWNCROFT BLVD STE 106B
ROCHESTER NY
14625-1523
US

IV. Provider business mailing address

2507 BROWNCROFT BLVD STE 106B
ROCHESTER NY
14625-1523
US

V. Phone/Fax

Practice location:
  • Phone: 585-310-4490
  • Fax:
Mailing address:
  • Phone: 585-310-4490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number026201
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number026201
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: