Active NPI
Janice Marion Cooper
- Psychologist
- Wescosville, PA
National Provider Identifier
1558396945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS 001285-L
- Practice address
- 4949 Liberty LN
Suite 5
Wescosville, PA 18106-9014 - Phone
- (610) 821-9422
- Fax
- (610) 820-6308
- NPI assigned
- Jul 12, 2006
- Last updated
- May 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS 001285-L | PA | Primary |
Addresses
Primary practice location
4949 Liberty LN
Suite 5
Wescosville, PA 18106-9014
Mailing address
4949 Liberty Lane
Suite 5
Wescosville, PA 18106-9017
Phone (610) 821-9422
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01744201 | Other | PA | CAPITAL BLUE CROSS |
| 7160053 | Other | PA | AETNA |
| P3300773 | Other | PA | OXFORD |
| 1034698 | Other | PA | CIGNA |
| 132334000 | Other | PA | MAGELLAN |
| 0059905000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1664534 | Other | PA | AMERIHEALTH |
| 338509 | Other | PA | HIGHMARK BLUE SHIELD |
| 1394296 | Medicaid | PA | |
| 164557 | Other | PA | VALUE OPTIONS |
| 254837 | Other | PA | MANAGED HEALTH NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4949 Liberty Lane
Suite 5
Wescosville, PA 18106-9017
4949 Liberty LN
Suite 5
Allentown, PA 18106-9017
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS 001285-L | PA | MD | Psychologist |
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.
-
- Psychologist
- Wescosville, PA
- NPI 1306872924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1558396945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 LIBERTY LANE",
"address_2": "SUITE 5",
"city": "WESCOSVILLE",
"state": "PA",
"postal_code": "181069017",
"telephone_number": "610-821-9422",
"fax_number": "610-820-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 LIBERTY LN",
"address_2": "SUITE 5",
"city": "WESCOSVILLE",
"state": "PA",
"postal_code": "181069014",
"telephone_number": "610-821-9422",
"fax_number": "610-820-6308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JANICE",
"middle_name": "MARION",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS 001285-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01744201",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7160053",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3300773",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1034698",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "132334000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0059905000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "1664534",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "338509",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1394296",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "164557",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "254837",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wescosville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.