Norvin R Cooley, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0453 Issued in OR

Practice address

610 Jefferson St
Oregon City, OR 97045

Phone

(503) 657-7235

Fax

(503) 657-7676

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jake Cooley Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154479665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 JEFFERSON ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "97045",
            "telephone_number": "503-657-7235",
            "fax_number": "503-657-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 JEFFERSON ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "97045",
            "telephone_number": "503-657-7235",
            "fax_number": "503-657-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "NORVIN",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "0453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224584",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN HMC",
            "identifier": "117714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "COOLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alejandro Contreras, N.D.
• Rigoberto Ramon Contreras
• Ashley Cook
• Jonathan Todd Cook, DDS
• Katherine Mong Cook, DDS
• Aarika Cooper, PT, DPT
• Arthur D Cooper, M.D.
• Ethel Cooper
• Jaycee Amanda Copher
• Karen Marie Corban, LCSW

• Clinical Psychologist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.