Active NPI
Sharon Cooper, PHD
- Psychologist
- Rockville, MD
National Provider Identifier
1891850251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MD2657
- Practice address
- 6201 Executive Blvd
Rockville, MD 20852-3906 - Phone
- (301) 299-3656
- Fax
- (301) 299-4886
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | MD2657 | MD | Primary |
Addresses
Primary practice location
6201 Executive Blvd
Rockville, MD 20852-3906
Mailing address
6201 Executive Blvd
Rockville, MD 20852-3906
Phone (301) 299-3656
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1262408 | Other | MD | PHCS |
| 133096 | Other | MD | MHN |
| 001345 | Other | MD | VALUE OPTIONS |
| 512254 | Other | MD | NCPPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2013 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2657 | MD | MD | Psychologist |
| 02657 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1891850251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 EXECUTIVE BLVD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523906",
"telephone_number": "301-299-3656",
"fax_number": "301-299-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 EXECUTIVE BLVD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523906",
"telephone_number": "301-299-3656",
"fax_number": "301-299-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "SHARON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "MD2657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "1262408",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "133096",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "001345",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "512254",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.