Active NPI
Paul Cooper, PH.D.
- Psychologist
- Tulsa, OK
National Provider Identifier
1336473784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 802
- Practice address
- 7220 E 55TH Place
Tulsa, OK 74145 - Phone
- (918) 449-6533
- NPI assigned
- Oct 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 802 | OK | Primary |
Addresses
Primary practice location
7220 E 55TH Place
Tulsa, OK 74145
Mailing address
7220 E 55TH Place
Tulsa, OK 74145
Phone (918) 449-6533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201006001575 | OK | Practitioner - Psychologist Billing Independently | 0840619102 | Practice locations: Tulsa, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1336473784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 E 55TH PLACE",
"city": "TULSA",
"state": "OK",
"postal_code": "74145",
"telephone_number": "918-449-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 E 55TH PLACE",
"city": "TULSA",
"state": "OK",
"postal_code": "74145",
"telephone_number": "918-449-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-01",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.