Stewart E. Cooper, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20040467 Issued in IN

Practice address

826 Laporte Ave
Valparaiso, IN 46383-4534

Phone

(219) 464-5002

Fax

(219) 464-6865

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104837996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LEGEND DR",
            "address_2": "APARTMENT 203",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836696",
            "telephone_number": "219-464-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 LAPORTE AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834534",
            "telephone_number": "219-464-5002",
            "fax_number": "219-464-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEWART",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20040467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Cook
• Richard Allen Cook, CADAC III
• Charles Cooper, DNP CRNA
• Jac Alan Cooper Sr., M.D.
• Latonya R Cooper, LCSW
• Jilissa Copeland, LCSW
• Adam Laurence Cordray, DO
• Corner Sun Wellness, LLC
• Amanda C Cornett, LMHCA
• Margaret Cornett

• Psychologist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.