Graham Elliot Rome Cooper, PHD
NPI 1164066064ActiveIndividual· Psychologist· Santa Rosa, CA
Psychologist (PHD) in Santa Rosa, California, licensed in WA, with an NPI issued in November 2019. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1164066064 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Nov 4, 2019 |
| Last updated in NPPES | Dec 30, 2021 |
| Certified by provider | Nov 12, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY60923579 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
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