Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassidy Cooper, DO

Individual provider Psychiatry Physician · NPI 1063944007

Cassidy Cooper, DO is a Psychiatry in Providence, Rhode Island. Qualified in 2017, 9 years ago. Licensed in Maryland and Rhode Island.

Years since qualifying
9
Licensed in
MD, RI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

593 Eddy Street Potter 2
Providence, RI 02903
Phone: (401) 444-2128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2084P0800X (RI)
Psychiatry Physician Taxonomy 2084P0800X · Licence H91805 (MD)

Record details

NPI number1063944007
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2017
Last updated in NPPESAugust 3, 2023
Certification dateAugust 2, 2023
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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