Active NPI
Ilana Lindsay Cooper, PSYD
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1821512872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10649
- Practice address
- 1419 Beacon St Ste 36
Brookline, MA 02446-4808 - Phone
- (857) 400-8696
- NPI assigned
- Aug 1, 2017
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10649 | MA | Primary |
Addresses
Primary practice location
1419 Beacon St Ste 36
Brookline, MA 02446-4808
Mailing address
1419 Beacon St Ste 36
Brookline, MA 02446-4808
Phone (857) 400-8696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10649 | Other | MA | BOARD OF REGISTRATION OF PSYCHOLOGISTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10649 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1821512872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 BEACON ST STE 36",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464808",
"telephone_number": "857-400-8696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 BEACON ST STE 36",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464808",
"telephone_number": "857-400-8696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "ILANA",
"middle_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10649",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTRATION OF PSYCHOLOGISTS",
"identifier": "10649",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.