CHARLES MARCUS COOPER PHD
NPI 1699703835
Psychologist in Johnson City, TN

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
46.31/100
CMS Quality Rating
101 MED TECH PKWY, JOHNSON CITY, TN 37604(423) 232-6120 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Marcus Cooper Phd NPPES

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

CHARLES MARCUS COOPER PHD (NPI 1699703835) is an individual psychologist in Johnson City, Tennessee, licensed in Tennessee (1084) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1984).

NPPES Registry Identity

NPI1699703835
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameCHARLES MARCUS COOPERCredential: PHD
Location Address101 MED TECH PKWYJohnson City, TN 37604-4007
Mailing Address101 Med Tech PkwyJohnson City, TN 37604-4007 · (423) 232-6120
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1984
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1699703835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in TN · 1084
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
101 MED TECH PKWY, Johnson City, TN 37604

Other Identifiers 9

Other14722TN · Cariten
Other4010675TN · Blue Cross (mental Health
Medicare ID-Type Unspecified3684773TN
Other186693TN · Anthem Jc
Other7241087TN · Aetna
Medicaid3584891TN
Other186690TN · Anthem (kpt)
Other4104023TN · Blue Cross (medical)
OtherTN0107TN · John Deere

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles Marcus Cooper Phd 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 ID4981891041
PECOS Enrollment IDI20101215000529
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of behavior impacting health, each additional 15 minutes 96159
This procedure involves therapeutic interventions to help manage behaviors that may negatively affect your health. Each additional 15-minute session is designed to further assist in developing healthier habits and coping mechanisms.
168 services25 patients
Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
154 services66 patients
Treatment of behavior impacting health, initial 30 minutes 96158
This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.
86 services25 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
66 services66 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
66 services66 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
66 services66 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

46.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality32.29
Promoting Interoperability0
Improvement Activities40
Cost72.09

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.

Physical Medicine & Rehabilitation
101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604
Home Infusion
101 MED TECH PKWY, SUITE 100
JOHNSON CITY, TN 37604
Physician Assistant
101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604
Family Medicine
101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
101 MED TECH PKWY, STE 407
JOHNSON CITY, TN 37604
Pain Medicine (Interventional Pain Medicine)
101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604
Pediatrics
101 MED TECH PKWY, SUITE 405
JOHNSON CITY, TN 37604

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 Charles Cooper's NPI number?

The NPI number for Charles Cooper is 1699703835. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Charles Cooper located?

Charles Cooper practices at 101 Med Tech Pkwy, Johnson City, TN 37604. The listed phone number is (423) 232-6120.

What is Charles Cooper's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Charles Cooper enrolled in Medicare?

Yes. Charles 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.

What insurance does Charles Cooper accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Charles 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 Charles Cooper was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.