Marjorie Barbara Cooper-Nicols, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019594-1 Issued in NY

Practice address

3512 Quentin Rd
Brooklyn, NY 11234-4231

Phone

(800) 275-3243

NPI assigned

Nov 15, 2006

Last updated

Jun 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Island Medical Services P.C.Group PAC ID 3476619867, 6 clinicians

Nassau Medical Home Visits PCGroup PAC ID 8921390121, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Long Island Medical Services P.C.

  • Internal Medicine Physician
  • Syosset, NY
  • NPI 1841443538
  Medicare reassignment Care Compare group NPD
• Nassau Medical Home Visits P.C.

  • Internal Medicine Physician
  • Syosset, NY
  • NPI 1104270198
  Medicare reassignment Care Compare group NPD
• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  Medicare reassignment NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  Medicare reassignment NPD
• United Cerebral Palsy Association of Nassau County, Inc.

  • Clinic/Center
  • Roosevelt, NY
  • NPI 1720009715
  Medicare reassignment NPD
• Hematology and Oncology of Li PLLC

  • Hematology & Oncology Physician
  • Massapequa, NY
  • NPI 1629275938
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1497827380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W 18TH ST",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117293907",
            "telephone_number": "631-243-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344231",
            "telephone_number": "800-275-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-NICOLS",
        "first_name": "MARJORIE",
        "middle_name": "BARBARA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019594-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa Cooney, LMSW
• Karl Cooney, LCSW
• Therese Cooney
• Cooper Mental Health Counseling PLLC
• Cooper Podiatry PC
• Abena Cooper, MS, LCSW
• Annie G. Cooper, FNP
• Ashley Cooper, ANP-C
• Candice Cooper, LCSW
• Casey K. Cooper

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.