Christopher Leonard Cooper, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 23144 Issued in CA

Practice address

6809 Indiana Ave Ste 130-A60
Riverside, CA 92506-4221

Phone

(800) 790-0890

Fax

(855) 550-4620

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1417008673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 INDIANA AVE STE 130-A60",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064221",
            "telephone_number": "800-790-0890",
            "fax_number": "855-550-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6809 INDIANA AVE STE 130-A60",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064221",
            "telephone_number": "800-790-0890",
            "fax_number": "855-550-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Washington Street",
            "address_2": "Suite 150-1938",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92103",
            "country_code": "US",
            "telephone_number": "800-790-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY 23144",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY 23144",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY 23144",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY23144",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Cooksey, FNP
• Tonya Michelle Cooley, OTR
• John Levi Coon, M.D.
• Carrie Anne Cooper, LMFT
• Cecile Cooper, RN
• Dylan Cooper, AMFT
• Lyndi J Cooper
• Margarita Milagro Cooper, LMFT
• Michelle Cooper
• Noel Cooper, PSYD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.