Individual provider Active NPI

Michael P. Cooper, D.O.

  • Psychiatry Physician
  • Festus, MO
National Provider Identifier
1386059277
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2017041329 Issued in MO
Practice address
1420 US Highway 61
Festus, MO 63028-4108
Phone
(636) 543-2230
Fax
(636) 543-2231
NPI assigned
Jun 30, 2014
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2017041329 MO Primary

Addresses

Primary practice location

1420 US Highway 61
Festus, MO 63028-4108

Mailing address

1420 US Highway 61
Festus, MO 63028-4108
Phone (636) 543-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180928000856 MO Practitioner - Psychiatry 9638471113 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians
Mercy Clinic Adult Psychiatry LLCGroup PAC ID 4688998602, 15 clinicians

Practice addresses (Care Compare)

12 N Kingshighway
100 Wound Care
Perryville, MO 63775-1367
Phone (573) 768-3399

12125 Conway Rd
Suite 160
Saint Louis, MO 63141-8241
Phone (314) 251-2870

1420 US Hwy 61
Festus, MO 63028-4108
Phone (636) 543-2230

1508 Edgemont Blvd
Primary Care/Convenient Care
Perryville, MO 63775-1231
Phone (573) 768-3220

206 Hospital LN
Perryville, MO 63775-1382

210 Hospital LN
Perryville, MO 63775-4200

210 Hospital LN
Suite 203
Perryville, MO 63775-1276
Phone (573) 768-3285

212 Hospital LN
Perryville, MO 63775-4204

434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1844
Phone (573) 768-3284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Perry Current Accepting new patients
Mercy Hospital Perry CurrentSince Apr 27, 2025 Accepting new patients
SSM Health Care Group Psychiatry CurrentSince Jul 1, 2022 Accepting new patients
Mercy Hospital Perry CurrentSince Apr 27, 2025 Accepting new patients
Mercy Clinic Adult Psychiatry, LLC Psychiatry CurrentSince Oct 1, 2018 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients

Locations

1400 US Highway 61
Ste 150A
Crystal Cty, MO 63028
Phone (636) 543-2230

1420 US Highway 61
Crystal Cty, MO 63028
Phone (636) 543-2230

212 Hospital Ln
Ste 205
Perryville, MO 63775
Phone (573) 547-3116

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

12125 Conway Rd
Ste 160
Saint Louis, MO 63141
Phone (314) 251-2870

3518 Laclede Ave
Saint Louis, MO 63103
Phone (314) 977-2323

Interoperability endpoints

  • Direct secure messaging: mcooper69419@direct-ehr-ssmhc.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1386059277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284108",
            "telephone_number": "636-543-2230",
            "fax_number": "636-543-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284108",
            "telephone_number": "636-543-2230",
            "fax_number": "636-543-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2017041329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.