KRISTINA M COOPER PH.D.
NPI 1346200219
Psychologist - Clinical in Phoenix, AZ

Active since March 24, 2006Opted out of Medicare · through Jul 1, 2027
1300 N 12TH ST, SUITE 610, PHOENIX, AZ 85006(602) 239-5000 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristina M Cooper Ph.d. NPPES

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

KRISTINA M COOPER PH.D. (NPI 1346200219) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (1072) and active in the NPI registry since March 2006. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1346200219
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKRISTINA M COOPERCredential: PH.D.
Location Address1300 N 12TH ST, SUITE 610Phoenix, AZ 85006-2848
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837 · (602) 495-4577 · Fax (602) 417-3549
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 6, 2008
NPI 1346200219 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 AZ · 1072
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.

1300 N 12TH ST, Phoenix, AZ 85006

Other Identifiers 4

Medicaid176695AZ
Medicare UPINR09415
Medicare PINZ74594
Medicare PINZ77045

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kristina M 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 July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Emergency Medicine
1300 N 12TH ST, STE 301
PHOENIX, AZ 85006
Specialist
1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006
Internal Medicine (Hematology & Oncology)
1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006
Nurse Practitioner
1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006
Obstetrics & Gynecology
1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006
Physician Assistant (Medical)
1300 N 12TH ST, STE 500
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

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 Kristina Cooper's NPI number?

The NPI number for Kristina Cooper is 1346200219. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Kristina Cooper located?

Kristina Cooper practices at 1300 N 12th St Suite 610, Phoenix, AZ 85006. The listed phone number is (602) 239-5000.

What is Kristina Cooper's specialty?

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

Is Kristina Cooper enrolled in Medicare?

No. Kristina Cooper has opted out of Medicare through July 1, 2027. 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 Kristina Cooper was last updated on October 6, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.