Individual provider Active NPI

Nancy Cook

  • Psychologist
  • Hollis, NH
National Provider Identifier
1306560586
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
30053 Issued in NH
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
30053NHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hollis Brookline High School CurrentSince Oct 2, 2022 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.

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.

Verify at the official NPI Registry.