Organization Active NPI

Susan Keortge Cook, PH.D.

  • Clinical Psychologist
  • Golden, CO
National Provider Identifier
1023527454
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2696 Issued in CO
Legal business name
SUSAN KEORTGE COOK, PH.D.
Practice address
2801 Youngfield St.
Suite 300
Golden, CO 80401
Phone
(303) 205-8491
Fax
(303) 232-0384
NPI assigned
Sep 28, 2017
Last updated
Sep 28, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SUSAN KEORTGE COOK, PH.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Authorized official

Name
Dr. Susan Keortge Cook, PH.D.
Title
Clinical Psychologist
Phone
(303) 205-8491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 2696 CO Primary

Addresses

Primary practice location

2801 Youngfield St.
Suite 300
Golden, CO 80401

Mailing address

2801 Youngfield St.
Suite 300
Golden, CO 80401
Phone (303) 205-8491

National Provider Directory

National Provider Directory
Part of
Susan Keortge Cook PHD

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1023527454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST.",
            "address_2": "SUITE 300",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-205-8491",
            "fax_number": "303-232-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST.",
            "address_2": "SUITE 300",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-205-8491",
            "fax_number": "303-232-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN KEORTGE COOK, PH.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUSAN KEORTGE COOK, PH.D.",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KEORTGE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "303-205-8491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.