Active NPIIndividual provider

Cassidy Cooper, DO

Psychiatry & Neurology, Psychiatry in Providence, Rhode Island

NPI Number1063944007
Practice location
593 Eddy Street, Potter 2, Providence, RI 02903
Fax
—
Last updated
August 3, 2023

Cassidy Cooper is a Psychiatry & Neurology, Psychiatry based in Providence, RI. Cassidy Cooper practices in Providence, RI and has the professional credentials of DO. The NPI Number for Cassidy Cooper is 1063944007 and holds a License No. H91805 (MD). The current practice location address for Cassidy Cooper is 593 Eddy Street, Potter 2, Providence, RI 02903 and can be reached out via phone at 401-444-2128.

Provider Profile Details

NPI Number
1063944007
Provider Name
Cassidy Cooper
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
593 Eddy Street, Potter 2, Providence, RI 02903
Phone Number
401-444-2128
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2017
Last Update Date
August 3, 2023
Certification Date
August 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
593 Eddy Street
Potter 2
Providence, RI 02903
Zip
02903
Phone Number
401-444-2128
Providence, RI 02903Get directions →

Provider Business Mailing Address Details

Address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
City
Providence
State
RI
Zip
02905-4541
Phone Number
401-444-6779

License Information

License Number (1)
H91805
License State (1)
MD
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
2084P0800X
License State (2)
RI
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cassidy Cooper, DO?

The NPI number of Cassidy Cooper, DO is 1063944007. It was assigned on March 29, 2017 and is currently active in the NPPES registry.

What is the specialty of Cassidy Cooper, DO?

Cassidy Cooper, DO is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MD under license number H91805.

Where does Cassidy Cooper, DO practice?

The practice location is 593 Eddy Street, Potter 2, Providence, RI 02903. The office can be reached at 401-444-2128 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063944007 directly on the NPPES registry website.

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