Active NPI
Takesha Jenene Cooper, MD
- Child & Adolescent Psychiatry Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A88199
- Practice address
- 5190 Neil Rd Ste 215
Reno, NV 89502-6509 - Phone
- (775) 982-7800
- NPI assigned
- May 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A88199 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A88199 | CA | Primary |
Addresses
Primary practice location
5190 Neil Rd Ste 215
Reno, NV 89502-6509
Mailing address
5190 Neil Rd Ste 215
Reno, NV 89502-6509
Phone (775) 982-7800
Other practice location 1
31946 Mission Trl
Suite B
Lake Elsinore, CA 92530-4539
Phone (951) 245-7663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A881990 | Medicaid | CA |
Other names 1
- Dr. Takesha Jenene Valentine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231204001816 | NV | Practitioner - Psychiatry | 2264481183 |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Southern California Keck School of Medicine, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1155 Mill St
Msm14
Reno, NV 89502-1576
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 79.09
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88199 | CA | MD | Clinical Social Worker |
| A88199 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renown Medical School Associates North, Inc. | Current | Accepting new patients | |
| Renown Medical School Associates North, Inc. | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients |
Locations
10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860
1155 Mill St
#14
Reno, NV 89502
1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110
5190 Neil Rd
Ste 215
Reno, NV 89502
Phone (775) 784-4917
85 Kirman Ave
Ste 200
Reno, NV 89502
Phone (775) 982-2862
85 Kirman Ave
Ste 101
Reno, NV 89502
Phone (775) 329-0222
Interoperability endpoints
- tcooper256934@direct.llu.edu
- tcooper199703@direct.renown.org
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1679794069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5190 NEIL RD STE 215",
"city": "RENO",
"state": "NV",
"postal_code": "895026509",
"telephone_number": "775-982-7800",
"fax_number": "775-982-8043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 NEIL RD STE 215",
"city": "RENO",
"state": "NV",
"postal_code": "895026509",
"telephone_number": "775-982-7800"
}
],
"practiceLocations": [
{
"address_1": "31946 Mission Trl",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925304539",
"country_code": "US",
"telephone_number": "951-245-7663",
"fax_number": "951-674-6431",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "TAKESHA",
"middle_name": "JENENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A88199",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A88199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A881990",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAKESHA",
"last_name": "VALENTINE",
"middle_name": "JENENE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.