Organization Active NPI

Jennifer R. Cooper, PHD, Psychological Services, PC

  • Psychologist
  • Corvallis, OR
National Provider Identifier
1487925137
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1835 Issued in OR
Legal business name
JENNIFER R. COOPER, PHD, PSYCHOLOGICAL SERVICES, PC
Practice address
833 NW Buchanan Ave
#10
Corvallis, OR 97330-6217
Phone
(541) 207-3937
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Jennifer Cooper
Title
President
Phone
(541) 207-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1835 OR Primary

Addresses

Primary practice location

833 NW Buchanan Ave
#10
Corvallis, OR 97330-6217

Mailing address

833 NW Buchanan Ave
#10
Corvallis, OR 97330-6217

National Provider Directory

National Provider Directory

Locations

833 NW Buchanan Ave
#10
Corvallis, OR 97330
Phone (541) 207-3937

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1487925137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NW BUCHANAN AVE",
            "address_2": "#10",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NW BUCHANAN AVE",
            "address_2": "#10",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306217",
            "telephone_number": "541-207-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER R. COOPER, PHD, PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-207-3937",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.