Individual provider Active NPI

Michael Cooper, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1558749804
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD483798 Issued in PA
Practice address
134 N 4TH St
Brooklyn, NY 11249-3296
Phone
(646) 450-7748
Fax
(718) 481-2061
NPI assigned
May 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 285689 NY
Psychiatry Physician 2084P0800X MD483798 PA Primary
Psychiatry Physician 2084P0800X A166303 CA

Addresses

Primary practice location

134 N 4TH St
Brooklyn, NY 11249-3296

Mailing address

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, NJ, OR, PA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20170714000518 NY Practitioner - Psychiatry 0648540278 Reassigns benefits to 2 organizations
I20200215000233 CA Practitioner - Psychiatry 0648540278 Reassigns benefits to 1 organization
I20220414001116 NJ Practitioner - Psychiatry 0648540278 Reassigns benefits to 1 organization
I20231120003537 OR Practitioner - Psychiatry 0648540278 Reassigns benefits to 1 organization
I20240808001527 PA Practitioner - Psychiatry 0648540278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 N Sanders St
Dept 30
Helena, MT 59601-4520

111 N Sanders St Dept
Suite 30
Helena, MT 59601-4520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A166303CAMDPsychiatry Physician
285689NYMDPsychiatry Physician
MD483798PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Family Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Jul 22, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jul 22, 2024 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger-HM Joint Venture, LLC Family Medicine CurrentSince Jul 27, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jul 27, 2024 Accepting new patients
Alameda Health System CurrentSince May 26, 2020 Accepting new patients
Valera Medical, P.a. Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
Alameda Health System CurrentSince May 26, 2020 Accepting new patients
New York University CurrentSince Jul 1, 2017 Accepting new patients
Ocean Psychological Services, Inc. CurrentSince Nov 16, 2021 Accepting new patients
Alameda Health System Current Accepting new patients
New York University CurrentSince Jul 1, 2017 Accepting new patients

Locations

39180 Liberty St
Ste 205
Fremont, CA 94538
Phone (510) 439-0657

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

134 N 4th St
Brooklyn, NY 11249

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

100 N Academy Ave
Danville, PA 17822

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

Interoperability endpoints

  • Direct secure messaging: mcooper54832@alamedahs.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1558749804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493296",
            "telephone_number": "646-450-7748",
            "fax_number": "718-481-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493296",
            "telephone_number": "646-450-7748",
            "fax_number": "718-481-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "285689",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD483798",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A166303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.