GRAHAM ELLIOT ROME COOPER PHD
NPI 1164066064
Psychologist in Santa Rosa, CA
About Graham Elliot Rome Cooper Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAHAM ELLIOT ROME COOPER PHD (NPI 1164066064) is an individual psychologist in Santa Rosa, California, licensed in Washington (PY60923579) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Graham Elliot Rome Cooper Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Graham Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Graham Cooper's NPI number?
The NPI number for Graham Cooper is 1164066064. It was assigned to this individual provider in the NPPES registry on November 4, 2019.
Where is Graham Cooper located?
Graham Cooper practices at 3554 Round Barn Blvd, Santa Rosa, CA 95403. The listed phone number is (707) 571-3778.
What is Graham Cooper's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Graham Cooper enrolled in Medicare?
Yes. Graham Cooper is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Graham Cooper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Graham Cooper reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Graham Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Graham Cooper was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.