KIMBERLY COOPER, PSYD PLLC
NPI 1750059564
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bangor, ME
About Kimberly Cooper, Psyd Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY COOPER, PSYD PLLC (NPI 1750059564) is a healthcare organization registered as a mental health (including community mental health center) in Bangor, Maine and active in the NPI registry since September 2021. The organization lists Kimberly J Cooper, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Cooper, Psyd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kimberly Cooper, Psyd PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kimberly Cooper, Psyd PLLC's NPI number?
The NPI number for Kimberly Cooper, Psyd PLLC is 1750059564. It was assigned to this organization in the NPPES registry on September 6, 2021.
Where is Kimberly Cooper, Psyd PLLC located?
Kimberly Cooper, Psyd PLLC is located at 73 Hammond St # 1811, Bangor, ME 04401. The listed phone number is (207) 762-7282.
What is Kimberly Cooper, Psyd PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Kimberly Cooper, Psyd PLLC enrolled in Medicare?
Yes. Kimberly Cooper, Psyd PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kimberly Cooper, Psyd PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kimberly Cooper, Psyd PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Cooper, Psyd PLLC was last updated on September 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kimberly Cooper, Psyd Pllc · NPI 1750059564
Mental Health (Including Community Mental Health Center) organization in Bangor, Maine. Organization record, active in the CMS NPPES registry since September 6, 2021.
## Identity
- **NPI:** 1750059564 (Entity type: Organization)
- **Enumerated:** September 6, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kimberly Cooper, PSYCHOLOGIST
## Practice location
- **Address:** 73 HAMMOND ST # 1811, Bangor, ME 04401-4957
- **Phone:** (207) 762-7282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1750059564) · Data from the CMS NPPES public registry.