Robert Porter Cooper, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11145 Issued in CA

Practice address

533 Peters Ave
Suite 202
Pleasanton, CA 94566-6676

Phone

(925) 830-3911

Fax

(925) 399-5552

NPI assigned

Sep 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1407956196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PETERS AVE",
            "address_2": "SUITE 202",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666676",
            "telephone_number": "925-830-3911",
            "fax_number": "925-399-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PETERS AVE",
            "address_2": "SUITE 202",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666676",
            "telephone_number": "925-830-3911",
            "fax_number": "925-399-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ROBERT",
        "middle_name": "PORTER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CALIFORNIA",
            "identifier": "PSY11145",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Mary Conroy, PHARM.D.
• Ricardo W. Contreras, P.T.
• Susan River Contreras, RN BS PHN
• Rachel Cook
• Caitlin Margaret Cooper, P.T.
• Core Craft Physical Therapy and Rehabilitation Professional Corp
• Devin Taylor Cornish, OTR/L
• Evelyn Corral
• Lorena R Cortez
• Ida L Coryell Hirst, P.T.

• Clinical Psychologist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.