Active NPI
Rosemary Cook, PH.D.
- Psychologist
- Bellmore, NY
National Provider Identifier
1245540293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2704 Grand Ave Ste 5
Bellmore, NY 11710-3599 - Phone
- (631) 935-2967
- Fax
- (516) 307-3396
- NPI assigned
- Oct 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | Primary | ||
| School Psychologist | 103TS0200X | 823161 | NY |
Addresses
Primary practice location
2704 Grand Ave Ste 5
Bellmore, NY 11710-3599
Mailing address
45 Tippin Dr
Huntington Station, NY 11746-2130
Phone (631) 935-2967
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 |
|---|---|---|---|
| 823161 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1245540293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 TIPPIN DR",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117462130",
"telephone_number": "631-935-2967",
"fax_number": "631-427-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 GRAND AVE STE 5",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117103599",
"telephone_number": "631-935-2967",
"fax_number": "516-307-3396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ROSEMARY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-08",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "823161",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.