Individual provider Active NPI

Chester D. Copemann, PHD

  • Clinical Psychologist
  • Christiansted, VI
National Provider Identifier
1457521536
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02-014-PSY Issued in VI
Practice address
#34 Aldersville
Christiansted, VI 00820
Phone
(340) 773-5113
Fax
(340) 773-5163
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 02-014-PSY VI
Clinical Psychologist 103TC0700X 02-014-PSY VI Primary
Clinical Child & Adolescent Psychologist 103TC2200X 02-014-PSY VI
Forensic Psychologist 103TF0200X 02-014-PSY VI
Rehabilitation Psychologist 103TR0400X 02-014-PSY VI
School Psychologist 103TS0200X 02-014-PSY VI
Health Psychologist 103TH0004X 02-014-PSY VI

Addresses

Primary practice location

#34 Aldersville
Christiansted, VI 00820

Mailing address

PO Box 1547
Kingshill, VI 00851-1547
Phone (340) 773-5113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
02-014-PSYVIMDHealth Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chester D. Copemann, PHD, P.C. Cognitive & Behavioral Past Accepting new patients

Organizations & group practices 1

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1457521536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "KINGSHILL",
            "state": "VI",
            "postal_code": "008511547",
            "telephone_number": "340-773-5113",
            "fax_number": "340-773-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#34 ALDERSVILLE",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-773-5113",
            "fax_number": "340-773-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPEMANN",
        "first_name": "CHESTER",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "VI",
            "license": "02-014-PSY",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VI",
            "license": "02-014-PSY",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VI",
            "license": "02-014-PSY",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "VI",
            "license": "02-014-PSY",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "VI",
            "license": "02-014-PSY",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VI",
            "license": "02-014-PSY",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "VI",
            "license": "02-014-PSY",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.