Active NPI
Jessica Cooperman, PSYD
- Psychologist
- Cambridge, MA
National Provider Identifier
1992695928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS020521
- Practice address
- 1 Mifflin PL
Cambridge, MA 02138-4907 - Phone
- (845) 652-3783
- NPI assigned
- Jul 9, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS020521 | PA | Primary |
Addresses
Primary practice location
1 Mifflin PL
Cambridge, MA 02138-4907
Mailing address
801 S 47TH St Apt 301
Philadelphia, PA 19143-3652
Phone (845) 652-3783
Other practice location 1
4023 Chain Bridge Rd Ste 7
Fairfax, VA 22030-4121
Phone (845) 652-3783
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS020521 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1992695928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S 47TH ST APT 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191433652",
"telephone_number": "845-652-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MIFFLIN PL",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384907",
"telephone_number": "845-652-3783"
}
],
"practiceLocations": [
{
"address_1": "4023 Chain Bridge Rd Ste 7",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220304121",
"country_code": "US",
"telephone_number": "845-652-3783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPERMAN",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-09",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS020521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.