Jason William Cooper, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36836 Issued in TX

Practice address

1333 W McDermott Dr Ste 200
Allen, TX 75013-3089

Phone

(214) 790-3125

NPI assigned

Mar 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Dr J W Cooper, PLLC

  • Clinical Psychologist
  • Allen, TX
  • NPI 1720483852
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1952793754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 W MCDERMOTT DR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133089",
            "telephone_number": "214-790-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 W MCDERMOTT DR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133089",
            "telephone_number": "214-790-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE PSYCHOLOGY LICENSE",
            "identifier": "36836",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Conte
• Convergent Diagnostics, LLC
• Cook Childrens Home Health
• Yuri East Cook, M.D., FAAP
• Ashley Ryann Cooksey, CNP
• Xavier Cooper, DC
• Donald J. Copenhaver, DDS, MSD
• Marlene L Corbett, MS,CCC,SLP
• Brooke Ariah Corder, DC
• Core Clarity Mental Health Services, LLC

• Clinical Psychologist in Allen, TX
• Providers in Allen, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.