Nan W Cooley, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003425 Issued in GA

Practice address

2085 S Milledge Ave
Suite 1
Athens, GA 30605-1655

Phone

(706) 369-6363

Fax

(706) 369-6239

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Little Tree Psychological Services

  • Psychologist
  • Seneca, SC
  • NPI 1750930889
  Medicare reassignment NPD Authorized official
• Advantage Behavioral Health Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
  • NPI 1942270558
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1295999050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 S MILLEDGE AVE",
            "address_2": "SUITE 1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051655",
            "telephone_number": "706-369-6363",
            "fax_number": "706-369-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 S MILLEDGE AVE",
            "address_2": "SUITE 1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051655",
            "telephone_number": "706-369-6363",
            "fax_number": "706-369-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "NAN",
        "middle_name": "W",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher L Cook, PHARM.D., PH.D.
• Joel P Cook, MD
• Jonathan M Cook, DO
• Meghan B Cook, MD
• Lisa Jane Cooley-Yaple, CADCII
• Clare Edwards Cooper, MD/PHD
• Earl R. Cooper, ATC
• Erin Haley Cooper, LMSW
• Geraldine Cooper
• Rosemary Cooper, RN

• Clinical Psychologist in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.