Steven Jay Cooper, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

165774 Issued in NY

Practice address

55 College Rd
Monsey, NY 10952-2826

Phone

(845) 425-4713

Fax

(845) 425-4713

NPI assigned

Oct 5, 2006

Last updated

Feb 18, 2015By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Faculty Psychiatric Associates, PC

  • Child & Adolescent Psychiatry Physician
  • Valhalla, NY
  • NPI 1003864729
  NPD (past)
• Westchester Faculty Psychological Associates PC

  • Psychologist
  • Valhalla, NY
  • NPI 1528080603
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1275629347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COLLEGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522826",
            "telephone_number": "845-425-4713",
            "fax_number": "845-425-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COLLEGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522826",
            "telephone_number": "845-425-4713",
            "fax_number": "845-425-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEVEN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "165774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "01F44FW271",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06000165774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Medical & Dental Care Inc / Home Program
• Community Medical & Dental Care Inc / Ohr Behavioral Health
• Community Outreach Center
• Cong Khal Torath Chaim Viznitz of Monsey Inc.
• Judith G Cooper, LCSW
• Creative Boundaries LLC
• Crestview Quality Medical Care, PLLC
• Crown Heights Medical, P.C.
• Tzipporah Leah Crupar, MA
• Cutting Edge Consulting Group Inc.

• Child & Adolescent Psychiatry Physician in Monsey, NY
• Providers in Monsey, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.