Active NPI
Wendy Cook, PSYD
- Psychologist
- Boca Raton, FL
National Provider Identifier
1194457549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4627
- Practice address
- 433 Plaza Real Ste 275
Boca Raton, FL 33432-3999 - Phone
- (561) 299-0230
- NPI assigned
- Jun 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4627 | CT | Primary |
Addresses
Primary practice location
433 Plaza Real Ste 275
Boca Raton, FL 33432-3999
Mailing address
433 Plaza Real Ste 275
Boca Raton, FL 33432-3999
Phone (561) 299-0230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4627 | CT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1194457549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 PLAZA REAL STE 275",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334323999",
"telephone_number": "561-299-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 PLAZA REAL STE 275",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334323999",
"telephone_number": "561-299-0230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-25",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "4627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.