Active NPI
Elizabeth Cook, PH.D.
- Rehabilitation Psychologist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- License
- 5105
- Practice address
- 480 W. 9TH Avenue
Columbus, OH 43210 - Phone
- (614) 293-7604
- Fax
- (614) 366-3809
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 5105 | OH | |
| Psychologist | 103T00000X | 5105 | OH | |
| Rehabilitation Psychologist | 103TR0400X | 5105 | OH | Primary |
Addresses
Primary practice location
480 W. 9TH Avenue
Columbus, OH 43210
Mailing address
480 Medical Center Dr
Columbus, OH 43210-1229
Phone (614) 293-7604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0236006 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111203000111 | OH | Practitioner - Clinical Psychologist | 3476728452 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5105 | OH | MD | Rehabilitation Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osu Physical Medicine and Rehabilitation, LLC | Current | Accepting new patients | |
| Adena Medical Group LLC | Current | Accepting new patients | |
| Rehabilitation Psychology, Inc. | Rehabilitation | Past | Accepting new patients |
Locations
480 W 9th Ave
#2145
Columbus, OH 43210
Phone (614) 421-3830
700 Ackerman Rd
Ste 570
Columbus, OH 43202
Phone (614) 293-2046
480 Medical Center Dr
Columbus, OH 43210
Phone (614) 293-3830
480 Medical Center Dr
#2145
Columbus, OH 43210
Phone (614) 293-3830
480 W 9th Ave
Columbus, OH 43210
Phone (614) 293-3830
550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Columbus, OH
- NPI 1003029455
OH
-
- Rehabilitation Psychologist
- Dublin, OH
- NPI 1679502553
Rehabilitation
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Osu Physical Medicine and Rehabilitation LLC
Practice addresses (Care Compare)
480 Medical Ctr Dr
Columbus, OH 43210-1229
Phone (614) 293-3830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1023029758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 MEDICAL CENTER DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101229",
"telephone_number": "614-293-7604",
"fax_number": "614-366-3809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 W. 9TH AVENUE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43210",
"telephone_number": "614-293-7604",
"fax_number": "614-366-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ELIZABETH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OH",
"license": "5105",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5105",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "OH",
"license": "5105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0236006",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.