Active NPI
Nancy Cook
- Psychologist
- Hollis, NH
National Provider Identifier
1306560586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 30053
- Practice address
- Hollis Brookline High School
24 Cavalier Court
Hollis, NH 03049-0304 - Phone
- (603) 809-3386
- NPI assigned
- Sep 30, 2022
- Last updated
- Sep 30, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 30053 | NH | Primary |
Addresses
Primary practice location
Hollis Brookline High School
24 Cavalier Court
Hollis, NH 03049-0304
Mailing address
478 Lyndeboro Rd
New Boston, NH 03070-4515
Phone (603) 809-3386
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 |
|---|---|---|---|
| 30053 | NH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollis Brookline High School | Current | Accepting new patients |
Locations
24 Cavalier Ct
Hollis, NH 03049
Phone (603) 809-3386
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Hollis, NH
- NPI 1164001087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1306560586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 LYNDEBORO RD",
"city": "NEW BOSTON",
"state": "NH",
"postal_code": "030704515",
"telephone_number": "603-809-3386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOLLIS BROOKLINE HIGH SCHOOL",
"address_2": "24 CAVALIER COURT",
"city": "HOLLIS",
"state": "NH",
"postal_code": "030490304",
"telephone_number": "603-809-3386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2022-09-30",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "30053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollis, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.