TODD GABRIEL KOPELMAN (PHD) – Psychologist, NPI 1063699668

TODD GABRIEL KOPELMAN (PHD) is a healthcare provider. based in Iowa city, Iowa. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 01022 (IA). The NPI Number for TODD GABRIEL KOPELMAN (PHD) is 1063699668

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
TODD GABRIEL KOPELMAN (PHD)
NPI
1063699668
Phone
(319) 353-6456
Address
200 HAWKINS DR
Enumeration Date
25 January 2008
Last Update Date
4 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3196263300
Graduation Year
2005 (21 years ago)
PAC ID
3476637513
Group Practice PAC ID
8921331836
Professional Enrollment ID
I20080227000562
Address ID
IA523178819NO320XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

192 CLINICAL PSYCHOLOGIST in IA

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Provider Addresses for TODD GABRIEL KOPELMAN (PHD)

  • University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States

    IOWA CITY, IA 522421009

    Phone: (319) 353-6456

    Fax: (319) 356-8284

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080227000562IClinical PsychologistIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921331836View full group profile
NameSpecialtyState
Clinical Social WorkerIA
Clinical Social WorkerIA
P S Y C H I A T R YIA
Physician AssistantIA
Mental Health CounselorIL
-IA
Clinical Social WorkerIA
Clinical Social WorkerIA
Clinical Social WorkerIA
Mental Health CounselorIA

Reviews

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Frequently asked questions

Can I cross-check TODD GABRIEL KOPELMAN (PHD) using NPI 1063699668?
NPI 1063699668 belongs to TODD GABRIEL KOPELMAN (PHD); compare other details if you need extra assurance.
Is there an active status for TODD GABRIEL KOPELMAN (PHD)?
For scheduling context, TODD GABRIEL KOPELMAN (PHD) is shown as active in the registry.
What expertise is attributed to TODD GABRIEL KOPELMAN (PHD)?
TODD GABRIEL KOPELMAN (PHD)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Is TODD GABRIEL KOPELMAN (PHD) associated with Iowa City?
Public fields place TODD GABRIEL KOPELMAN (PHD) around Iowa City, Iowa. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for TODD GABRIEL KOPELMAN (PHD) is noted as January 25, 2008 where the registry provides it.

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