Active NPI
Chester D. Copemann, PHD
- Clinical Psychologist
- Christiansted, VI
National Provider Identifier
1457521536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 02-014-PSY
- Practice address
- #34 Aldersville
Christiansted, VI 00820 - Phone
- (340) 773-5113
- Fax
- (340) 773-5163
- NPI assigned
- Mar 5, 2008
- Last updated
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02-014-PSY | VI | MD | Health Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba The Office of Chester D. Copemann, PhD, P.C.
- Clinical Psychologist
- Christiansted, VI
- NPI 1134399298
Cognitive & Behavioral
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.