Organization Active NPI

Joan T Cooper PHD PA

  • Psychologist
  • West Palm Beach, FL
National Provider Identifier
1427299437
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7117 Issued in FL
Legal business name
JOAN T COOPER PHD PA
Practice address
8259 N Military TRL
Suite 12
West Palm Beach, FL 33410-6352
Phone
(561) 776-2260
NPI assigned
Mar 20, 2009
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Joan T Cooper, PHDNPI 1033158753
Title
Owner
Phone
(561) 776-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7117 FL Primary

Addresses

Primary practice location

8259 N Military TRL
Suite 12
West Palm Beach, FL 33410-6352

Mailing address

8259 N Military TRL
Suite 12
West Palm Beach, FL 33410-6352
Phone (561) 776-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000388 FL Part B Supplier - Clinic/Group Practice 0749330850 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Beach Gardens, FL

National Provider Directory

National Provider Directory

Locations

8259 N Military Trl
Ste 12
West Palm Beach, FL 33410
Phone (561) 776-2260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1427299437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 N MILITARY TRL",
            "address_2": "SUITE 12",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106352",
            "telephone_number": "561-776-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8259 N MILITARY TRL",
            "address_2": "SUITE 12",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106352",
            "telephone_number": "561-776-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN T COOPER PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-776-2266",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.