Amy Mixon Cooper, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1432 Issued in AL

Practice address

100 Centerview Dr
Suite 190
Birmingham, AL 35216-3747

Phone

(205) 492-1973

NPI assigned

Oct 29, 2007

Last updated

Sep 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Over the Mountain Psychological Services

  • Clinical Psychologist
  • Vestavia, AL
  • NPI 1356689277
  Authorized official Same address or phone

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1265611123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTERVIEW DR",
            "address_2": "SUITE 190",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352163747",
            "telephone_number": "205-492-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTERVIEW DR",
            "address_2": "SUITE 190",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352163747",
            "telephone_number": "205-492-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AMY",
        "middle_name": "MIXON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cooper Green Mercy Health Services Authority an Affiliate of Uab (Cooper Green Clinic Pharmacy)
• Cooper Green Rehabilitation Services
• Cooper Green Rehabilitation Services
• Tancanekia Latrice Cooper-Prewitt
• Adrienne Cooper
• Anna Grace Cooper, PSY.D.
• Ashlee Craig Cooper
• Benjamin Edward Cooper, MD
• Carter Cooper
• Courtney Allyson Cooper

• Psychologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.