Matthew C Cooper, PSY.D., MCSP

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

0003 Issued in IA

Practice address

3408 Woodland Avenue, Suite 102
West Des Moines, IA 50266-5365

Phone

(515) 267-1996

Fax

(515) 207-9416

NPI assigned

Apr 25, 2011

Last updated

Feb 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1255622262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVE STE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666504",
            "telephone_number": "515-267-1996",
            "fax_number": "515-207-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVENUE, SUITE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665365",
            "telephone_number": "515-267-1996",
            "fax_number": "515-207-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D., MCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001265",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IA",
            "license": "000601",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "IA",
            "license": "001265",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "IA",
            "license": "0003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conte TCV PC
• Paul Andrew Conte, M.D.
• Farah Contractor
• Stacy Marie Cook, PA C
• Brent Lane Cooper, LPT
• Cora Schuhmacher, Psy.D., PLLC
• Mackenzie Corbett
• Kristina Marie Corcoran, MA, LMHC
• Core Physical Therapy Inc
• Emily Cornelius, PA-C

• Prescribing (Medical) Psychologist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Prescribing (Medical) Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.