Damekica N Cooper, CNA

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

230005622360101 Issued in MI

Practice address

20200 Veach St
Detroit, MI 48234-3218

Phone

(586) 420-0367

NPI assigned

Dec 7, 2020

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1336745231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 15 MILE RD APT 110",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125561",
            "telephone_number": "313-627-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 VEACH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343218",
            "telephone_number": "586-420-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DAMEKICA",
        "middle_name": "N",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MI",
            "license": "230005622360101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Cooper-Edwards
• Antranese Lashawn Cooper, LPN
• Brandi Cooper
• Brooke Kathleen Cooper, L. L.M.S.W.
• Christopher Lee Cooper, MD
• Dawanda Cooper, LPN
• Emma Ann Cooper, MS
• Freddie Mae Cooper
• James Andrew Cooper, LADAC, CADC
• Jerel Dwayne Cooper

• Health Service Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Health Service Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.