Marc D Cooper, MA

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

1979 Marcus Ave
Suite 204
New Hyde Park, NY 11042-1002

Phone

(516) 327-4681

Fax

(516) 327-4684

NPI assigned

Dec 26, 2006

Sex

Male

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

Master of Arts

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376608778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CAIRNSMUIR LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566723",
            "telephone_number": "845-639-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE",
            "address_2": "SUITE 204",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421002",
            "telephone_number": "516-327-4681",
            "fax_number": "516-327-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MARC",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Patrick Conway, DO
• Tracy J Conwell-Henry, SLP
• Lynndey C Cook, RPA
• Alessia Cooney, DO
• Alison Cooper, M.D.
• Brian Cooperman, M.D.
• Gene Coppa, MD
• Kenneth Cordero, M.D.
• Andrew Jonathan Cordiale, D.O.
• Aminta Cordoba, C.R.N.A

• Cognitive & Behavioral Psychologist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.