CASEY COOPER PHD NPI 1073798179

NPI Information

  • NPI: 1073798179
  • Provider Name: CASEY COOPER, PHD
  • Classification: Psychologist - 103TE1100X
  • Specialization: Exercise & Sports
  • Entity Type: Individual
  • Address: 27281 LAS RAMBLAS
    STE 200
    MISSION VIEJO, CA
    ZIP 92691
  • Phone: (949) 420-3067

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NPI Details

Casey Cooper, PHD is an exercise and sports psychologist in Mission Viejo, CA. The provider is a psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists. Casey Cooper, PHD NPI is 1073798179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

27281 LAS RAMBLAS
STE 200
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 420-3067
Fax: (949) 305-4171

The enumeration date for this NPI number is 1/8/2008 and was last updated on 10/4/2016.

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
1103T00000XPsychologistPSY21348CALIFORNIANo
2103TB0200XPsychologistCognitive & BehavioralPSY21348CALIFORNIANo
3103TE1100XPsychologistExercise & SportsPSY21348CALIFORNIAYes

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
127-1865720OTHERCALIFORNIAEIN

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: 11/21/2025

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