Individual provider Active NPI

Paula Cooper, PHD

  • Psychologist
  • Sarasota, FL
National Provider Identifier
1043294325
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7184 Issued in FL
Practice address
2650 Bahia Vista St Ste 201
Sarasota, FL 34239-2625
Phone
(941) 685-6098
Fax
(941) 776-8956
NPI assigned
Dec 1, 2005
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY7184 FL
Psychologist 103T00000X PY7184 FL Primary

Addresses

Primary practice location

2650 Bahia Vista St Ste 201
Sarasota, FL 34239-2625

Mailing address

2650 Bahia Vista St Ste 201
Sarasota, FL 34239-2625
Phone (941) 685-6098

Other practice location 1

603 7th St S STE 100
St Petersburg, FL 33701-4719
Phone (727) 553-7240

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
I20051010000226 FL Practitioner - Clinical Psychologist 8224053228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H Pettibon PHD PAGroup PAC ID 7618025131, 4 clinicians
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians

Practice addresses (Care Compare)

3800 S Tamiami TRL
Suite 210
Sarasota, FL 34239-6909
Phone (941) 366-1693

603 7TH St S
Suite 100
St Petersburg, FL 33701-4719
Phone (727) 553-7431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY7184FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Feb 23, 2026 Accepting new patients
William H Pettibon PHD PA Psychologist CurrentSince Mar 11, 2014 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Feb 23, 2026 Accepting new patients
William H Pettibon PHD PastSince Mar 11, 2014 Accepting new patients

Locations

3800 S Tamiami Trl
Unit 210
Sarasota, FL 34239
Phone (941) 366-1693

603 7th St S
Ste 100
St Petersburg, FL 33701
Phone (727) 553-7240

333 Tamiami Trl S
Ste 368
Venice, FL 34285
Phone (941) 366-1693

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22051/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1043294325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-685-6098",
            "fax_number": "941-776-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-685-6098",
            "fax_number": "941-776-8956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 7th St S STE 100",
            "address_purpose": "LOCATION",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "country_code": "US",
            "telephone_number": "727-553-7240",
            "fax_number": "727-553-7241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAULA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7184",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.