DR. NICOLE S COOPER PH.D.
NPI 1124528146
Psychologist - Clinical in New York, NY
About Dr. Nicole S Cooper Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE S COOPER PH.D. (NPI 1124528146) is an individual clinical provider in New York, New York, licensed in New York (016442) and active in the NPI registry since February 2018. She has opted out of Medicare through January 21, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
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. Nicole S Cooper Ph.d. 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 January 21, 2018 through January 21, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10001
NEW YORK, NY 10001
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 Nicole Cooper's NPI number?
The NPI number for Nicole Cooper is 1124528146. It was assigned to this individual provider in the NPPES registry on February 16, 2018.
Where is Nicole Cooper located?
Nicole Cooper practices at 138 W 25th St Fl 10, New York, NY 10001. The listed phone number is (212) 335-2100.
What is Nicole Cooper's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Nicole Cooper enrolled in Medicare?
No. Nicole Cooper has opted out of Medicare through January 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Nicole Cooper was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Dr. Nicole S Cooper, PH.D. · NPI 1124528146
Clinical provider in New York, New York. Individual provider, active in the CMS NPPES registry since February 16, 2018.
## Identity
- **NPI:** 1124528146 (Entity type: Individual)
- **Enumerated:** February 16, 2018
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 016442 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 138 W 25TH ST FL 10, New York, NY 10001-7470
- **Phone:** (212) 335-2100
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 21, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1124528146) · Data from the CMS NPPES public registry.