DR. MATTHEW C COOPER PSY.D. MCSP NPI 1255622262

NPI Information

NPI: 1255622262
Provider Name: DR. MATTHEW C COOPER, PSY.D., MCSP
Classification: Psychologist - 103TP0016X
Entity Type: Individual

Specialization: Prescribing (Medical)

Address:
3408 WOODLAND AVENUE, SUITE 102
WEST DES MOINES, IA
ZIP 50266
Phone: (515) 267-1996
Get Directions

DR. Matthew C Cooper, PSY.D., MCSP is a prescribing (medical) psychologist in West Des Moines, IA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. DR. Matthew C Cooper, PSY.D., MCSP NPI is 1255622262. 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:

3408 WOODLAND AVENUE, SUITE 102
WEST DES MOINES, IA
ZIP 50266-365
Phone: (515) 267-1996
Fax: (515) 207-9416

The enumeration date for this NPI number is 4/25/2011 and was last updated on 2/3/2022.

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	103TC0700X	Psychologist	Clinical	001265	IOWA	No
2	103TH0100X	Psychologist	Health Service	000601	IOWA	No
3	103TP0016X	Psychologist	Prescribing (Medical)	001265	IOWA	No
4	103TP0016X	Psychologist	Prescribing (Medical)	0003	IOWA	Yes

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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