Active NPI
Teresa Kay Cook, PSY.D.
- Clinical Psychologist
- Memphis, TN
National Provider Identifier
1457555906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2844
- Practice address
- 3461 Austin Peay Hwy
Memphis, TN 38128-3801 - Phone
- (901) 261-4553
- Fax
- (901) 261-4511
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2844 | TN | Primary |
Addresses
Primary practice location
3461 Austin Peay Hwy
Memphis, TN 38128-3801
Mailing address
7229 Grapetree TRL
Cordova, TN 38018-7946
Phone (901) 261-4553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130424000482 | TN | Order and Referring Only - Clinical Psychologist | 8123264934 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2844 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1457555906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7229 GRAPETREE TRL",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187946",
"telephone_number": "901-261-4553",
"fax_number": "901-261-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3461 AUSTIN PEAY HWY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381283801",
"telephone_number": "901-261-4553",
"fax_number": "901-261-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "TERESA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "2844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.