Eric Allen Copeland, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2011028411 Issued in MO

Practice address

2702 Cunningham Ave Ste a
Joplin, MO 64804-1593

Phone

(417) 782-1910

Fax

(417) 782-1844

NPI assigned

Sep 1, 2011

Last updated

May 15, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ozark CenterGroup PAC ID 4789588088, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Ozark Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Joplin, MO
  • NPI 1790796878
  Medicare reassignment Care Compare group NPD
• Cornerstone Medical, LLC

  • Internal Medicine Physician
  • Joplin, MO
  • NPI 1104549948
  NPD
• Ozark Center

  dba Multi Specialty Group

  • Behavior Analyst
  • Joplin, MO
  • NPI 1790038511
  NPD

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1528349792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 CUNNINGHAM AVE STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041593",
            "telephone_number": "417-782-1910",
            "fax_number": "417-782-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 CUNNINGHAM AVE STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041593",
            "telephone_number": "417-782-1910",
            "fax_number": "417-782-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "ERIC",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2011028411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201087640A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528349792",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Irene Cook, PLPC
• Jenny Lynn Cooper, LMSW
• Leah Cooper
• Jonmichael R Cope
• Molly J Cope
• Francis H. Corcoran, M.D.
• Robert Cordova
• Core14 LLC
• Cornerstone Caregiving East LLC (Cornerstone Caregiving)
• Cornerstone Health & Wellness, LLC

• Clinical Psychologist in Joplin, MO
• Providers in Joplin, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.