Active NPI
Virginia Galloway Cooper, PHD
- Clinical Psychologist
- Columbia, SC
National Provider Identifier
1013153170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- SC 1084
- Practice address
- 2917 Millwood Ave.
Ste. B
Columbia, SC 29205 - Phone
- (803) 877-6151
- NPI assigned
- Dec 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1084 | SC | |
| Clinical Psychologist | 103TC0700X | SC 1084 | SC | Primary |
Addresses
Primary practice location
2917 Millwood Ave.
Ste. B
Columbia, SC 29205
Mailing address
2917 Millwood Ave.
Ste. B
Columbia, SC 29205
Phone (803) 877-6151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2022 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC 1084 | SC | MD | Clinical Psychologist |
| 1084 | SC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1013153170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 MILLWOOD AVE.",
"address_2": "STE. B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29205",
"telephone_number": "803-877-6151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 MILLWOOD AVE.",
"address_2": "STE. B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29205",
"telephone_number": "803-877-6151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "VIRGINIA",
"middle_name": "GALLOWAY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1084",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "SC 1084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.