Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madeline Kop

Individual provider Behavior Technician · NPI 1588251623

Madeline Kop is a Psychiatry in San Diego, California. Qualified in 2024, 2 years ago. Practices with State of Arkansas, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

734 10th Ave
San Diego, CA 92101-6502
Phone: (619) 239-4663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9245 Activity Rd Ste 106, San Diego, CA 92126-4442 — (858) 428-0222

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Behavior Technician Taxonomy 106S00000X · Licence RBT-20-147874 (CA)

Record details

NPI number1588251623
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2020
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice State Of Arkansas — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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