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

Theodore Cooper

Individual provider Psychologist · NPI 1710434543

Theodore Cooper is a Clinical Psychologist in El Paso, Texas. Qualified in 2002, 24 years ago. Practices with Deer Oaks Geriatric Services P C, a 43-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Licensed in
TX
In the registry since
2016
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Practice location Address checks out

3612 Pera Ave
El Paso, TX 79905-2412
Phone: (915) 533-7057
Fax: (915) 533-7158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 35075 (TX)

Record details

NPI number1710434543
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2016
Last updated in NPPESSeptember 9, 2016
Mailing address3607 Rivera Ave, El Paso, TX 79905-2415

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Deer Oaks Geriatric Services P C — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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