Edward C Cook, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301005619 Issued in MI

Practice address

809 Center Street
Suite 8a
Lansing, MI 48906-5257

Phone

(517) 853-1925

Fax

(517) 853-1926

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1023043569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CENTER STREET",
            "address_2": "SUITE 8A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48906",
            "telephone_number": "517-853-1925",
            "fax_number": "517-853-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CENTER STREET",
            "address_2": "SUITE 8A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489065257",
            "telephone_number": "517-853-1925",
            "fax_number": "517-853-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005619",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301005619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Conlon
• Kathleen M Connell, M.D.
• Courtney Lynn Connelly, OTRL
• Rhonda Conner-Warren, CNP
• Contemporary Female Medicine, PC
• Jenna Cook, PRC
• Jenny Cook, SWT
• Mark Allen Cook, DO
• Peter H Cooke, M.D.
• Michelle Coolbaugh, LLBSW

• All providers in Lansing, MI
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.