Active NPI
Steven Harlan Cooper, PH.D
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1104011311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2503
- Practice address
- 875 Massachusetts Ave
Suite 54
Cambridge, MA 02139-3067 - Phone
- (617) 492-7460
- NPI assigned
- Sep 11, 2007
- Last updated
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2503 | MA | Primary |
Addresses
Primary practice location
875 Massachusetts Ave
Suite 54
Cambridge, MA 02139-3067
Mailing address
875 Massachusetts Ave
Suite 54
Cambridge, MA 02139-3067
Phone (617) 492-7460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2503 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1104011311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 MASSACHUSETTS AVE",
"address_2": "SUITE 54",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393067",
"telephone_number": "617-492-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 MASSACHUSETTS AVE",
"address_2": "SUITE 54",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393067",
"telephone_number": "617-492-7460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "STEVEN",
"middle_name": "HARLAN",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "2503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.