DR. MARK RICHARD COOPER (PHD) – Clinical Psychologist, NPI 1598459232

DR. MARK RICHARD COOPER (PHD) is a healthcare provider. based in Eldersburg, Maryland. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 03689 (MD). The NPI Number for DR. MARK RICHARD COOPER (PHD) is 1598459232

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK RICHARD COOPER (PHD)
NPI
1598459232
Phone
(410) 549-5181
Address
1380 PROGRESS WAY STE 101
Enumeration Date
6 June 2023
Last Update Date
14 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3018292242
Graduation Year
1999 (27 years ago)
PAC ID
1658734637
Group Practice PAC ID
5092120030
Professional Enrollment ID
I20230823002765
Address ID
MD217715457MO1311XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:3State licenses:1Digital endpointsOther names

571 CLINICAL PSYCHOLOGIST in MD

Provider Addresses for DR. MARK RICHARD COOPER (PHD)

  • 1380 PROGRESS WAY STE 101

    ELDERSBURG, MD 217846498

    Phone: (410) 549-5181

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230823002765IClinical PsychologistMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21784)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092120030View full group profile
NameSpecialtyState
Clinical PsychologistMD
Clinical PsychologistRI
Clinical PsychologistIL
Clinical PsychologistFL
P S Y C H I A T R YFL
Clinical Social WorkerFL
P S Y C H I A T R YFL
Clinical PsychologistFL
Nurse PractitionerFL
Clinical Social WorkerMD

Reviews

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Frequently asked questions

What is the registry number for DR. MARK RICHARD COOPER (PHD)?
The registry entry for DR. MARK RICHARD COOPER (PHD) shows NPI 1598459232.
Is DR. MARK RICHARD COOPER (PHD)'s NPI status active today?
Active status means DR. MARK RICHARD COOPER (PHD)'s NPI record is not deactivated in the public file.
What services align with DR. MARK RICHARD COOPER (PHD)'s listing?
DR. MARK RICHARD COOPER (PHD)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MARK RICHARD COOPER (PHD) in Eldersburg, Maryland?
For routing, start with Eldersburg, Maryland for DR. MARK RICHARD COOPER (PHD), then verify phone and hours locally.
Who maintains DR. MARK RICHARD COOPER (PHD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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