Active NPI
Andrew Lorimer Cook
- Licensed Psychiatric Technician
- San Luis Obispo, CA
National Provider Identifier
1003391384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT31062
- Practice address
- 2180 Johnson Ave
San Luis Obispo, CA 93401-4558 - Phone
- (805) 471-4308
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT31062 | CA | Primary |
| Licensed Psychiatric Technician | 167G00000X | 31062 | CA |
Addresses
Primary practice location
2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Mailing address
7045 Iverson PL
Paso Robles, CA 93446-9382
Phone (805) 471-4308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT31062 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1003391384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7045 IVERSON PL",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934469382",
"telephone_number": "805-471-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 JOHNSON AVE",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014558",
"telephone_number": "805-471-4308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ANDREW",
"middle_name": "LORIMER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT31062",
"primary": true
},
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "31062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.