Active NPI
Jamelle Jason Cooper
- School Psychologist
- Dayton, OH
National Provider Identifier
1710895198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LSP.01224
- Practice address
- 136 S Ludlow St
Dayton, OH 45402-1813 - Phone
- (937) 542-3000
- NPI assigned
- Aug 28, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LSP.01224 | OH | Primary |
Addresses
Primary practice location
136 S Ludlow St
Dayton, OH 45402-1813
Mailing address
5716 Firegate CT
Huber Heights, OH 45424-1162
Phone (937) 705-9202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1710895198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 FIREGATE CT",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454241162",
"telephone_number": "937-705-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 S LUDLOW ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454021813",
"telephone_number": "937-542-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JAMELLE",
"middle_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "LSP.01224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.