MR. PHILLIP CHARLES COOPER (NPI# 1689903494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689903494 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP CHARLES COOPER |
| Practice Address |
1340 Arnold Dr Suite 200 Martinez CA 94553-4189 |
| Practice Telephone | 9259575161 |
| Practice Fax Number | 9259575156 |
| Mailing Telephone | 9259575161 |
| Mailing Fax Number | 9259575156 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306124854 | Phillip Andrew Cooper | Registered Nurse | 300 Werner Street, Hot Springs, AR 71913-6921 | 2011-08-02 |
| Street Address |
1340 ARNOLD DR SUITE 200 |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553-4189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427104843 | Donna Michele Wigand | Social Worker | 1340 Arnold Dr, Suite 200, Martinez, CA 94553-4189 | 2007-01-26 |
| 1356698864 | Joanne Gillen Layton | Counselor | 1340 Arnold Dr, Martinez, CA 94553-4189 | 2012-08-14 |
| 1427330711 | William John Pickens | Counselor | 1340 Arnold Dr, Martinez, CA 94553-4189 | 2011-09-13 |
| 1396054607 | Roberto Roman | Community Health Worker | 1340 Arnold Dr, Ste 200, Martinez, CA 94553-4189 | 2010-10-04 |
| 1205082294 | Fred Taguiran | Counselor | 1340 Arnold Dr, 200, Martinez, CA 94553-4189 | 2008-08-11 |
| 1144406208 | Cynthia Lou Cook | Registered Nurse | 1340 Arnold Dr, Martinez, CA 94553-4189 | 2008-01-18 |
| 1265559132 | Jessica A Shaver | Marriage & Family Therapist | 1340 Arnold Dr, Suite 200, Martinez, CA 94553-4189 | 2007-03-23 |
| 1821130170 | Carol Anne Mott | Registered Nurse | 1340 Arnold Dr, Suite 200, Martinez, CA 94553-4189 | 2007-02-13 |
| 1780726547 | Michaela Dawn Mougenkoff | Counselor | 1340 Arnold Dr, Martinez, CA 94553-4189 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396183612 | Latonya Faye Mcnair | Case Manager/Care Coordinator | 3957 Cheyenne Trl, Martinez, GA 30907-5138 | 2013-06-08 |
| 1205050564 | Susan Kathleen Medlin | Case Manager/Care Coordinator | 1340 Arnold Dr., Suite 200 Contra Costa Mental Health Administration, Martinez, CA 94553 | 2007-04-11 |
| 1942363213 | Kimberly Dawn Booker | Case Manager/Care Coordinator | 4580 Mallard Ct, Martinez, GA 30907-8873 | 2006-12-18 |
| 1750757324 | Correna Kelley | Case Manager/Care Coordinator | 200 Muir Rd, Tiburon Building, Martinez, CA 94553-4614 | 2015-08-18 |
| 1912139494 | Lucy Bartel | Case Manager/Care Coordinator | 835 Castro St, Martinez, CA 94553-1611 | 2009-08-17 |
| 1528238375 | Susan Ann Vanlandingham | Case Manager/Care Coordinator | 597 Center Ave, Suite 150, Martinez, CA 94553-4640 | 2008-03-07 |
| 1699959080 | Lawana London | Case Manager/Care Coordinator | 597 Center Ave Ste 150, Martinez, CA 94553-4674 | 2007-12-21 |
| 1538342639 | Aaqilah H Islam | Case Manager/Care Coordinator | 597 Center Ave Ste 150, Martinez, CA 94553-4674 | 2007-12-11 |
| 1821271099 | Ana Silvia Blanco | Case Manager/Care Coordinator | 597 Center Ave Ste 150, Martinez, CA 94553-4674 | 2007-12-11 |
| 1528240397 | Juliette Scott | Case Manager/Care Coordinator | 597 Center Ave, Suite 150, Martinez, CA 94553-4640 | 2007-12-03 |
| Find all providers in MARTINEZ | ||||
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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.