THEODORE COOPER
NPI 1710434543
Psychologist in El Paso, TX

Active since September 09, 2016PECOS EnrolledAccepts Medicare Assignment
92.18/100
CMS Quality Rating
3612 PERA AVE, EL PASO, TX 79905(915) 533-7057(915) 533-7158 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore Cooper NPPES

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

THEODORE COOPER (NPI 1710434543) is an individual psychologist in El Paso, Texas, licensed in Texas (35075) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1710434543
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTHEODORE COOPER
Location Address3612 PERA AVEEl Paso, TX 79905-2412
Mailing Address3607 Rivera AveEl Paso, TX 79905-2415 · (915) 533-7057 · Fax (915) 533-7158
Fax(915) 533-7158
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 9, 2016
NPI 1710434543 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 TX · 35075
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.

3612 PERA AVE, El Paso, TX 79905

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

Theodore Cooper 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 ID6305102062
PECOS Enrollment IDI20171113002662
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

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.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
120 services16 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.

92.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.04
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Clinic/Center (Community Health)
3612 PERA AVE
EL PASO, TX 79905
Nurse Practitioner (Family)
3612 PERA AVE
EL PASO, TX 79905
Counselor (Professional)
3612 PERA AVE
EL PASO, TX 79905
Psychiatry & Neurology (Psychiatry)
3612 PERA AVE
EL PASO, TX 79905
Nurse Practitioner (Family)
3612 PERA AVE
EL PASO, TX 79905
Nurse Practitioner
3612 PERA AVE
EL PASO, TX 79905
Social Worker
3612 PERA AVE
EL PASO, TX 79905
Counselor (Mental Health)
3612 PERA AVE
EL PASO, TX 79905

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 Theodore Cooper's NPI number?

The NPI number for Theodore Cooper is 1710434543. It was assigned to this individual provider in the NPPES registry on September 9, 2016.

Where is Theodore Cooper located?

Theodore Cooper practices at 3612 Pera Ave, El Paso, TX 79905. The listed phone number is (915) 533-7057.

What is Theodore Cooper's specialty?

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

Is Theodore Cooper enrolled in Medicare?

Yes. Theodore 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 Theodore Cooper accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Theodore 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 Theodore Cooper was last updated on September 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.