Cook Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

COOK PSYCHOLOGICAL SERVICES, LLC

Practice address

604 Eastgate St
Carbondale, IL 62901-3304

Phone

(618) 203-4790

Fax

(618) 305-8449

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Robert F Cook, PSY.D.

Title

Owner

Phone

(618) 203-4790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712361600000",
    "number": "1366131948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629030791",
            "telephone_number": "618-203-4790",
            "fax_number": "618-305-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 EASTGATE ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013304",
            "telephone_number": "618-203-4790",
            "fax_number": "618-305-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-203-4790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Ellison Collie, M.D.
• Jessika Collins, FNP-BC
• Community Health & Emergency Services, Inc
• Community Health & Emergency Services, Inc.
• Complete Family Eyecare of Carbondale, PC
• Lynn Scott Cook, MD
• Robert F Cook, PSY.D.
• Kathy A Cooper, LCSW
• Scott A. Cooper, M.D.
• Holly Cormier, PH.D.

• Clinical Psychologist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2024; 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.