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

Individual provider Clinical Psychologist · NPI 1316437205

Kellie Cooper, LLP is a Clinical Psychologist in Dearborn, Michigan. Qualified in 2024, 2 years ago. Practices with Center for Neurobehavioral Services Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

835 Mason St Ste B220
Dearborn, MI 48124-2262
Phone: (313) 561-9064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301016322 (MI)

Record details

NPI number1316437205
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLP
Sole proprietorYes
NPI enumeratedMay 16, 2018
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address835 Mason St Ste B220, Dearborn, MI 48124-2262

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Center For Neurobehavioral Services Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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