SHAUN COOPER PH.D
NPI 1609167907
Psychologist - Addiction (Substance Use Disorder) in Highland Park, MI

Active since April 21, 2011PECOS EnrolledAccepts Medicare Assignment
12501 HAMILTON, HIGHLAND PARK, MI 48203(313) 587-3092 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shaun Cooper Ph.d NPPES

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

SHAUN COOPER PH.D (NPI 1609167907) is an individual addiction (substance use disorder) provider in Highland Park, Michigan, licensed in Michigan (6301008358) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1609167907
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameSHAUN COOPERCredential: PH.D
Location Address12501 HAMILTONHighland Park, MI 48203
Mailing AddressPo Box 725098Berkley, MI 48072-5098 · (313) 587-3092
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 21, 2011
✔ NPI 1609167907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in MI · 6301008358
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
12501 HAMILTON, Highland Park, MI 48203

Other Identifiers 2

Medicare PINOP23520MI
Medicaid2604097OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shaun Cooper Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941455190
PECOS Enrollment IDI20130219000541
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shaun Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
13101 ALLEN RD
Southgate, MI 48195
  • Reassigned Medicare billing, Michigan enrollment
  • 86 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 2

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

Counselor (Addiction (Substance Use Disorder))
12501 HAMILTON
HIGHLAND PARK, MI 48203
Counselor (Addiction (Substance Use Disorder))
12501 HAMILTON
HIGHLAND PARK, MI 48203

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 Shaun Cooper's NPI number?

The NPI number for Shaun Cooper is 1609167907. It was assigned to this individual provider in the NPPES registry on April 21, 2011.

Where is Shaun Cooper located?

Shaun Cooper practices at 12501 Hamilton, Highland Park, MI 48203. The listed phone number is (313) 587-3092.

What is Shaun Cooper's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Shaun Cooper enrolled in Medicare?

Yes. Shaun Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shaun Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Cooper reassigns Medicare benefits to The Guidance Center (Southgate, MI). 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 Shaun Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaun Cooper accept?

Health plans from Blue Care Network of Michigan, Oscar Insurance Company and Priority Health list Shaun Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaun Cooper was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.