Individual provider Active NPI

Joan T. Cooper

  • Clinical Psychologist
  • Palm Beach Gardens, FL
National Provider Identifier
1033158753
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7117 Issued in FL
Practice address
8259 N Military Trail
Ste 9
Palm Beach Gardens, FL 33410-6352
Phone
(561) 776-2266
NPI assigned
Jun 6, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7117 FL Primary

Addresses

Primary practice location

8259 N Military Trail
Ste 9
Palm Beach Gardens, FL 33410-6352

Mailing address

8259 N Military Trail
Ste 9
Palm Beach Gardens, FL 33410-6352
Phone (561) 776-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061129000455 FL Practitioner - Clinical Psychologist 3274531231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8259 N Military Trail
Ste12
Palm Beach Gardens, FL 33410-6352
Phone (561) 776-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Joan T Cooper PHD PA CurrentSince Apr 27, 2009 Accepting new patients

Locations

8259 N Military Trl
Ste 12
West Palm Beach, FL 33410
Phone (561) 776-2260

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1033158753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 N MILITARY TRAIL",
            "address_2": "STE 9",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106352",
            "telephone_number": "561-776-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8259 N MILITARY TRAIL",
            "address_2": "STE 9",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106352",
            "telephone_number": "561-776-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOAN",
        "middle_name": "T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.