Individual provider Active NPI

Edith Alexander Cooke, PSYD

  • Clinical Psychologist
  • Calabasas, CA
National Provider Identifier
1255688172
Registry record updated Nov 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16947 Issued in CA
Practice address
5016 Parkway Calabasas Suite 215
Calabasas, CA 91302-3927
Phone
(310) 497-1404
NPI assigned
Aug 9, 2012
Last updated
Nov 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY16947 CA Primary
Clinical Psychologist 103TC0700X PSY1122 HI

Addresses

Primary practice location

5016 Parkway Calabasas Suite 215
Calabasas, CA 91302-3927

Mailing address

5016 Parkway Calabasas Suite #215
Calabasas, CA 91302-3927
Phone (310) 497-1404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151216000323 CA Practitioner - Psychologist Billing Independently 7719288778 Practice locations: Calabasas, CA
I20240816003866 CA Practitioner - Clinical Psychologist 7719288778

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5016 Pkwy Calabasas
Suite 212
Calabasas, CA 91302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY16947CAMDClinical Psychologist
PSY1122HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Judith Leone-Friedman Psy D a Psychological Corporation CurrentSince Jan 22, 2017 Accepting new patients

Locations

5016 Parkway Calabasas
Ste 212
Calabasas, CA 91302
Phone (310) 497-1404

5016 Parkway Calabasas
Ste 215
Calabasas, CA 91302
Phone (805) 601-7098

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447459200000",
    "number": "1255688172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 PARKWAY CALABASAS SUITE #215",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023927",
            "telephone_number": "310-497-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 PARKWAY CALABASAS SUITE 215",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023927",
            "telephone_number": "310-497-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "EDITH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2015-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16947",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.