Active NPI
Callie J Cooper, PH.D.
- Clinical Neuropsychologist
- Wright Patterson AFB, OH
National Provider Identifier
1841624640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1355
- Practice address
- 4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529 - Phone
- (937) 257-6877
- NPI assigned
- Aug 28, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1355 | LA | |
| Psychologist | 103T00000X | |||
| Clinical Neuropsychologist | 103G00000X | 1355 | LA | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Mailing address
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone (937) 257-6877
Other names 1
- Dr. Callie J Brockman
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | callie.j.cooper.mil@mail.mil | ||
| Direct Messaging Address | callie.j.cooper.mil@health.mil |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1355 | LA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1841624640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "454335529",
"telephone_number": "937-257-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"city": "WRIGHT PATTERSON AFB",
"state": "OH",
"postal_code": "454335529",
"telephone_number": "937-257-6877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CALLIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-28",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "LA",
"license": "1355",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "LA",
"license": "1355",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "callie.j.cooper.mil@mail.mil",
"affiliation": "N",
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"city": "Jbsa Lackland",
"state": "TX",
"country_code": "US",
"postal_code": "782365638",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "callie.j.cooper.mil@health.mil",
"affiliation": "N",
"address_1": "331 Sijan Ave, Bldg 2032",
"city": "Whiteman AFB",
"state": "MO",
"country_code": "US",
"postal_code": "653051269",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CALLIE",
"last_name": "BROCKMAN",
"middle_name": "J",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wright Patterson AFB, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.