Maureen Diane Cook, APRN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

001486 Issued in CT

Practice address

731 Main St Ste 122
Monroe, CT 06468-2872

Phone

(203) 261-7090

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

No

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.

• Bristol Hospital Multi Specialty Group, Inc

  • Urgent Care Clinic/Center
  • Bristol, CT
  • NPI 1790229615
  NPD (past)
• Cycare LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Bloomfield, CT
  • NPI 1336150002
  NPD (past)
• Cycare LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Bloomfield, CT
  • NPI 1871866178
  NPD (past)
• State of Connecticut

  • Psychiatric Hospital
  • New Haven, CT
  • NPI 1881629434
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2020.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1083755300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 MAIN ST STE 122",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682872",
            "telephone_number": "203-367-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 MAIN ST STE 122",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682872",
            "telephone_number": "203-261-7090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Main St",
            "address_2": "BHMSG",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060106337",
            "country_code": "US",
            "telephone_number": "860-585-3469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MAUREEN",
        "middle_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "1486",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CT",
            "license": "001486",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "001486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FIRST COAST",
            "identifier": "890000175",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collective Growth Counseling & Supervision LLC
• Compounded Solutions in Pharmacy, LLC
• Connected Life Counseling, LLC
• Connecticut Back & Wellness Chiropractic LLC
• Connecticut CVS Pharmacy, L.L.C.
• Corliss J Racsko, LPC, PC
• Cornerstone Care LLC
• Sandra Ann Correira, LPC
• Jeffrey A Costa, PTA
• Counseling Center of Monroe, LLC

• All providers in Monroe, CT
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.