Stephen Cooper, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

027170 Issued in CT

Practice address

666 Glenbrook Rd
Stamford, CT 06906-1439

Phone

(203) 406-0554

Fax

(203) 406-9948

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 15, 2017 through Jan 15, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Stamford Psychiatric and Geriatric Psychiatry Associates

  • Psychiatry Physician
  • Stamford, CT
  • NPI 1275599516
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659486173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061439",
            "telephone_number": "203-406-0554",
            "fax_number": "203-406-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061439",
            "telephone_number": "203-406-0554",
            "fax_number": "203-406-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "027170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keara Conway, PSY.D.
• Madeline Weisberg Conway, MSS LCSW
• Susan K Cook, M.A., L.C.S.W.,
• Julia Cooper
• Shelley Lee Cooper, LCSW
• Kelly Copeland, PSYD
• Alexandra Coppola, MSW
• Frank Coppola
• Mary Coppolo, APRN
• Corado Counseling LLC

• Psychiatry Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.