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Charles Marcus Cooper, PHD

NPI 1699703835ActiveIndividual· Psychologist· Johnson City, TN

Psychologist (PHD) in Johnson City, Tennessee, trained at University of South Carolina School of Medicine (class of 1984). Medicare paid $24,387 for services to 84 patients in 2024.

Overview

NPI1699703835
StatusActive
Entity typeIndividual
CredentialPHD
Sole proprietorNo
NPI issuedJun 28, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000X1084TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Psychologist (TN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients84
Services billed606 across 6 procedure codes
Paid by Medicare$24,387

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of South Carolina School of Medicine
Graduation year1984
Medicare specialtyClinical Psychologist

Medical group

Source: CMS Care Compare

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