Cooper Young Therapist
NPI 1437957669ActiveOrganization· Psychologist· Memphis, TN
Psychologist in Memphis, Tennessee, registered in NPPES in March 2025. The authorized official on file is Earle G. Donelson, PSYCHOLOGIST, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437957669 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2025 |
| Last updated in NPPES | Apr 16, 2025 |
| Certified by provider | Apr 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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