Active NPI
Cooper Psychological Associates, Inc.
- Psychologist
- Wescosville, PA
National Provider Identifier
1306872924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS 001285-L
- Legal business name
- COOPER PSYCHOLOGICAL ASSOCIATES, INC.
- Practice address
- 4949 Liberty LN
Suite 5
Wescosville, PA 18106-9014 - Phone
- (610) 821-9422
- Fax
- (610) 820-6308
- NPI assigned
- Jun 24, 2006
- Last updated
- Apr 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Janice Marion Cooper
- Title
- Director
- Phone
- (610) 821-9422
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS 001285-L | PA | Primary |
Addresses
Primary practice location
4949 Liberty LN
Suite 5
Wescosville, PA 18106-9014
Mailing address
4949 Liberty Lane
Suite 5
Wescosville, PA 18106-9017
Phone (610) 821-9422
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02308900 | Other | PA | CAPITAL BLUE CROSS |
| 338509 | Other | PA | HIGHMAR BLUE SHIELD |
| 257539000 | Other | PA | MAGELLAN |
| 0059905000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 293720 | Other | PA | MANAGED HEALTH NETWORK |
| 1663388 | Other | PA | AMERIHEALTH |
| 7973084 | Other | PA | AETNA |
| C38509 | Other | PA | EPHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Wescosville, PA
- NPI 1558396945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461801600000",
"number": "1306872924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 LIBERTY LANE",
"address_2": "SUITE 5",
"city": "WESCOSVILLE",
"state": "PA",
"postal_code": "181069017",
"telephone_number": "610-821-9422",
"fax_number": "610-820-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 LIBERTY LN",
"address_2": "SUITE 5",
"city": "WESCOSVILLE",
"state": "PA",
"postal_code": "181069014",
"telephone_number": "610-821-9422",
"fax_number": "610-820-6308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOPER PSYCHOLOGICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2016-04-28",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "MARION",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "610-821-9422",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": "PA",
"license": "PS 001285-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02308900",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMAR BLUE SHIELD",
"identifier": "338509",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "257539000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0059905000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "293720",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "1663388",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7973084",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPHN",
"identifier": "C38509",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wescosville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.