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

Q: 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.

Q: What is Kristina Cooper's specialty?

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

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Kristina Cooper was last updated on October 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

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: August 16, 2026.

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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

Phone(602) 239-5000

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

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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.

DR. DIANA LYNELLE DABELL M.D.

Emergency Medicine

1300 N 12TH ST, STE 301
PHOENIX, AZ 85006

Maricopa County (602) 839-6968

PINNACLE COLON AND RECTAL SURGEONS, PLLC

Specialist

1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006

Maricopa County (602) 714-5482

INTERNISTS, ONCOLOGISTS LTD

Internal Medicine (Hematology & Oncology)

1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006

Maricopa County (602) 258-4875

PHILIP KACZAR MD PC

Internal Medicine

1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006

Maricopa County (602) 252-3967

BARBARA J RUNQUIST NP

Nurse Practitioner

1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006

Maricopa County (602) 839-0265

DR. ROBERT DEAN RIERSON MD

Obstetrics & Gynecology

1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006

Maricopa County (602) 839-4915

MISS FARRAH L BLACK PA

Physician Assistant (Medical)

1300 N 12TH ST, STE 500
PHOENIX, AZ 85006

Maricopa County (602) 839-2606

VIKTORIA KRAJNC MD

Family Medicine

1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

Maricopa County (602) 839-5271

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.