DR. GORDON KENNETH COOPER PH.D. NPI 1144259151

NPI Information

NPI: 1144259151
Provider Name: DR. GORDON KENNETH COOPER, PH.D.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
55 HOPE ST
PROVIDENCE, RI
ZIP 02906
Phone: (401) 331-1350
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DR. Gordon Kenneth Cooper, PH.D. is an addiction (substance use disorder) counselor in Providence, RI. DR. Gordon Kenneth Cooper, PH.D. NPI is 1144259151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 HOPE ST
PROVIDENCE, RI
ZIP 02906-001
Phone: (401) 331-1350
Fax: (401) 277-3366

The enumeration date for this NPI number is 7/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDP00013	RHODE ISLAND	Yes
2	101YM0800X	Counselor	Mental Health	MHC00086	RHODE ISLAND	X
3	101YM0800X	Counselor	Mental Health	5216	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	62-10104	OTHER		UNITED BEHAVIORAL HEALTH
2	089590	OTHER		VALUE OPTIONS
3	407027	OTHER		BLUE CHIP
4	GC02929	MEDICAID	RHODE ISLAND
5	2195772	OTHER		AETNA
6	7855-9	OTHER		BLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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