Jameca Woody Cooper, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2006006565 Issued in MO

Practice address

8000 Bonhomme Ave Ste 206
Clayton, MO 63105-3515

Phone

(314) 502-9256

Fax

(314) 293-6813

NPI assigned

Jun 12, 2006

Last updated

Mar 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Emergence Psychological ServicesGroup PAC ID 9537391693, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

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.

• Emergence Psychological Services

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1194140756

  IL

  Medicare reassignment Care Compare group Authorized official
• Diverse Ventures, LLC

  • Clinical Psychologist
  • Saint Louis, MO
  • NPI 1225058001
  NPD
• Parkview Psychological Services, PC

  • Clinical Psychologist
  • Houston, TX
  • NPI 1306972716
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1942242227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE STE 206",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "314-502-9256",
            "fax_number": "314-293-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE STE 206",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "314-502-9256",
            "fax_number": "314-293-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY COOPER",
        "first_name": "JAMECA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006006565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Wissmann, MS, RD, LD
• Lynn Wolfe, LPC
• Roxann Nicole Wombacher
• Womenscare Gynecology Inc
• Bridget A Woodfork
• Kelsey Wooten
• Julien Worland, PHD
• Latasha Marie Wren, RN
• Megan L Wren, NP
• John A. Yunker, M.S. LIC. PSYCHO.

• Clinical Psychologist in Clayton, MO
• Providers in Clayton, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.