DR. JASON E COOPER (NPI# 1376577486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376577486 |
| Entity Type | Individual |
| Full Name | DR. JASON E COOPER |
| Credential | PHD |
| Practice Address |
535 S. Ferdon Boulevard Suite B Crestview FL 32536-4237 |
| Mailing Address |
519 Boulder Street Crestview FL 32536 |
| Practice Telephone | 8502267322 |
| Practice Fax Number | 8502267491 |
| Mailing Telephone | 8502267322 |
| Mailing Fax Number | 8502267491 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PY8028 | FL | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 609 | NE | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY8028 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063882017 | Jason Cooper | Pharmacist | 6130 Goldfinch Dr, Mays Landing, NJ 08330-3400 | 2015-10-02 |
| 1952793754 | Jason William Cooper | Psychologist | 500 Central Expy, Ste 260, Plano, TX 75074-6772 | 2015-03-03 |
| 1710253133 | Jason Cooper | Licensed Practical Nurse | 10282 Gallia Pike Rd, Wheelersburg, OH 45694-8435 | 2012-03-29 |
| 1356457576 | Jason Andre Cooper | Specialist/Technologist | 214 East Main St., Senatobia, MS 38668 | 2006-08-21 |
| 1053305102 | Jason A. Cooper | Family Medicine | 555 Herndon Parkway, Ste 100, Herndon, VA 20170-4828 | 2005-09-06 |
| 1669009171 | Jason Alexander Cooper | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2020-03-25 |
| 1750921110 | Jason Tyrone Cooper | Counselor | 7171 Bowling Dr Ste 300, Sacramento, CA 95823-2043 | 2020-01-13 |
| 1346674249 | Jason Ross Cooper | Physical Therapist | 76 9th Ave, Suite 810, New York, NY 10011-4962 | 2013-08-27 |
| 1982042529 | Jason P. Cooper | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109 | 2013-06-05 |
| 1215261201 | Jason William Cooper | Dentist | 3506 Village Ct, Gary, IN 46408-1428 | 2009-09-24 |
| Street Address |
535 S. FERDON BOULEVARD SUITE B |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518970169 | Thomas Randall Anderson | Psychologist | 103 Ruby Ln, Crestview, FL 32539-7341 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.