DR. GABRIEL T. COOPER PSYD
NPI 1073866778
Psychologist - Clinical in San Jose, CA

Active since October 18, 2012Opted out of Medicare · through Dec 6, 2026
3880 S BASCOM AVE STE 212, SAN JOSE, CA 95124(408) 990-3325 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, May 28, 2021 (2 updates tracked since 2021).

About Dr. Gabriel T. Cooper Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GABRIEL T. COOPER PSYD (NPI 1073866778) is an individual clinical provider in San Jose, California, licensed in California (PSY34542) and active in the NPI registry since October 2012. He has opted out of Medicare through December 6, 2026.

NPPES Registry Identity

NPI1073866778
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GABRIEL T. COOPERCredential: PSYD
Location Address3880 S BASCOM AVE STE 212San Jose, CA 95124-2675
Mailing AddressPo Box 3268Santa Cruz, CA 95063-3268 · (707) 292-4935
Sole ProprietorYes
Enumeration DateOctober 18, 2012
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1073866778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY34542
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3880 S BASCOM AVE STE 212, San Jose, CA 95124

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Gabriel T. Cooper Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 6, 2024 through December 6, 2026.

Opt-Out Effective DateDecember 6, 2024
Opt-Out In Effect ThroughDecember 6, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3880 S BASCOM AVE STE 212
SAN JOSE, CA 95124
Clinic/Center (Mental Health (Including Community Mental Health Center))
3880 S BASCOM AVE STE 212
SAN JOSE, CA 95124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriel Cooper's NPI number?

The NPI number for Gabriel Cooper is 1073866778. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Where is Gabriel Cooper located?

Gabriel Cooper practices at 3880 S Bascom Ave Ste 212, San Jose, CA 95124. The listed phone number is (408) 990-3325.

What is Gabriel Cooper's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gabriel Cooper enrolled in Medicare?

No. Gabriel Cooper has opted out of Medicare through December 6, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Gabriel Cooper was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.