Active NPI
Carolyn R. Cook, PH.D.
- Psychologist
- Goldsboro, NC
National Provider Identifier
1205963741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3014
- Practice address
- 201 Stevens Mill Rd
Goldsboro, NC 27530-1056 - Phone
- (919) 580-2884
- NPI assigned
- Feb 28, 2007
- 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 | 3014 | NC | Primary |
Addresses
Primary practice location
201 Stevens Mill Rd
Goldsboro, NC 27530-1056
Mailing address
401 Firefly Rd
Holly Springs, NC 27540-8394
Phone (919) 342-5156
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1205963741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 FIREFLY RD",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275408394",
"telephone_number": "919-342-5156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 STEVENS MILL RD",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275301056",
"telephone_number": "919-580-2884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "CAROLYN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
- Melissa Sue Collins, PHARMD., RPH
- Community Links, Inc.
- Tiffany Jovante Compton Murchison, LCMHCS, LCAS-A
- Matthew Phillip Conti, D.O.
- Continuum II Home Health & Hospice, Inc.
- Marilue M Cook, MD
- Richard Thomas Cooke, DDS, MS
- Bonita Tyndall Cooley, MED, LPC
- Ashton Mudd Cooper, MS, RD, LDN
- Autumn Cooper, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.