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

Q: 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.

Q: 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.

Q: 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.

Active since April 21, 2011PECOS Enrolled

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: August 16, 2026.

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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.

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

Phone(313) 587-3092

Sole ProprietorNo

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

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Other Identifiers 2

Medicare PINOP23520MI

Medicaid2604097OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaun Cooper Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SHIRLEY GLENN ASSOCIATES

Counselor (Addiction (Substance Use Disorder))

12501 HAMILTON
HIGHLAND PARK, MI 48203

Wayne County (313) 587-3092

KEVIN BALDWIN I

Counselor (Addiction (Substance Use Disorder))

12501 HAMILTON
HIGHLAND PARK, MI 48203

Wayne County (313) 865-1580

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 enrollment system.

What insurance does Shaun Cooper accept?

Health plans from 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.