George Cook, CASAC-T

Key facts

NPI

1093566366

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

Practice address

280 Broadway Lowr Level
Newburgh, NY 12550-5408

Phone

(845) 562-8255

NPI assigned

Mar 27, 2024

Sex

Male

Sole proprietor

No

Organizations & group practices 2

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.

• Catholic Charities Community Services of Orange County Substance Use Disorder Rehabilitation Clinic/Center · Newburgh, NY · NPI 1316196603
  NPD (past)
• Catholic Charities of Orange, Sullivan & Ulster Substance Use Disorder Rehabilitation Clinic/Center · Goshen, NY · NPI 1093875007
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2024.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1093566366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROADWAY LOWR LEVEL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505408",
            "telephone_number": "845-562-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BROADWAY LOWR LEVEL",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505408",
            "telephone_number": "845-562-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 North St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109404704",
            "country_code": "US",
            "telephone_number": "845-343-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "GEORGE",
        "credential": "CASAC-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

• Comprehensive Blood &Cancer Medical Care,PC
• Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC
• Amanda Kay Conklin
• Consolidated Prosthetics
• Justin Conway, MD
• Valerie Cooper
• Terri Lynn Copans, PH.D.
• Michele Copping, LMSW
• Elizabeth Corcoran, ARNP
• Erin Patricia Corcoran, PSY.D.

All providers in Newburgh, NY · Addiction (Substance Use Disorder) Counselor in New York