DR. SHAWN COOPER PH.D., M.P.H.
NPI 1932128295
Psychologist in Providence, RI

Active since July 18, 2006Opted out of Medicare · through Oct 1, 2026
534 ANGELL ST, PROVIDENCE, RI 02906(401) 331-9507 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shawn Cooper Ph.d., M.p.h. NPPES

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

DR. SHAWN COOPER PH.D., M.P.H. (NPI 1932128295) is an individual psychologist in Providence, Rhode Island, licensed in Rhode Island (PS00005) and active in the NPI registry since July 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932128295
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHAWN COOPERCredential: PH.D., M.P.H.
Location Address534 ANGELL STProvidence, RI 02906-4414
Mailing Address369 Cole AveProvidence, RI 02906-4853 · (401) 861-6237
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1932128295 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 RI · PS00005
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.

534 ANGELL ST, Providence, RI 02906

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Shawn Cooper Ph.d., M.p.h. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
534 ANGELL ST
PROVIDENCE, RI 02906
Psychologist (Counseling)
534 ANGELL ST
PROVIDENCE, RI 02906
Acupuncturist
534 ANGELL ST
PROVIDENCE, RI 02906
Social Worker (Clinical)
534 ANGELL ST
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
534 ANGELL ST
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
534 ANGELL ST
PROVIDENCE, RI 02906
Counselor (Mental Health)
534 ANGELL ST
PROVIDENCE, RI 02906
Psychiatry & Neurology (Psychiatry)
534 ANGELL ST
PROVIDENCE, RI 02906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932128295, enumerated as an "individual" on July 18, 2006.

The provider is located at 534 ANGELL ST PROVIDENCE, RI 02906 and the phone number is (401) 331-9507.

Psychologist with taxonomy code 103T00000X.