Individual provider Active NPI

Elizabeth Cook, PH.D.

  • Rehabilitation Psychologist
  • Columbus, OH
National Provider Identifier
1023029758
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
5105 Issued in OH
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

Updated by the provider on Sep 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0236006MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5105OHMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Physical Medicine and Rehabilitation, LLC CurrentSince Jun 1, 2015 Accepting new patients
Adena Medical Group LLC CurrentSince Dec 3, 2017 Accepting new patients
Rehabilitation Psychology, Inc. Rehabilitation PastSince Jul 1, 1990 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.

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 35 clinicians

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

Verify at the official NPI Registry.