Melissa Cooper

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH007056 Issued in PA

Practice address

925 Berkshire Blvd
Wyomissing, PA 19610-1229

Phone

(484) 516-2330

Fax

(484) 516-2333

NPI assigned

Apr 12, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Melissa Berkheiser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paragon Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Wyomissing, PA
  • NPI 1568975738

  Behavior Analyst

  NPD

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1891549333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BERKSHIRE BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101229",
            "telephone_number": "484-516-2330",
            "fax_number": "484-516-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BERKSHIRE BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101229",
            "telephone_number": "484-516-2330",
            "fax_number": "484-516-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH007056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BERKHEISER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah P Consoli, M.D.
• Melissa Conti, PSY.D., R.D.
• Jonathan E Contin
• James Conway
• Kaitlyn Cooper
• Robert Bell Cooper II, D.O.
• Robert A Copeland, O.D.,F.C.O.V.D
• Mia Nicole Corbacio
• Glenn S Corbin, O.D.
• Robert J Cordes, DO

• Behavior Analyst in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.