Dr Susan J Cook PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS872 Issued in ME

Legal business name

DR SUSAN J COOK PA

Practice address

261 Main St
Yarmouth, ME 04096-6755

Phone

(207) 846-3935

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Susan Jane Cook, EDDNPI 1023102613

Title

President/Treasurer

Phone

(207) 846-3935

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Jane Cook, EDD

  • Psychologist
  • Yarmouth, ME
  • NPI 1023102613
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1386094498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966755",
            "telephone_number": "207-846-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966755",
            "telephone_number": "207-846-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUSAN J COOK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "207-846-3935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dirigo Pediatric Dentistry
• Nancy A. Dix, MSW
• Andrea Donovan
• Matthew S Douglas, PT
• Lynda A Doyle, EDD CLINICAL COUNSEL
• Edith T. Dubord, LCSW, LADC
• Mary Edgerton, MOTR/L
• Kimberly Ann Egberts, M.S.CCC-SLP
• Elizabeth B. Pierce, DO, PA
• Ellen Smith-Erb LCSW LLC

• Psychologist in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.