Rose Camille Cook

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6352000460 Issued in MI

Practice address

14841 Warwick St
Detroit, MI 48223-2248

Phone

(734) 926-5452

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life'S Box of Chocolates Psychological Services, LLC

  • Clinical Psychologist
  • Detroit, MI
  • NPI 1508549247
  NPD Authorized official

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1487138038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14841 WARWICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14841 WARWICK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232248",
            "telephone_number": "734-926-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29500 Southfield Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480762044",
            "country_code": "US",
            "telephone_number": "248-838-9272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "ROSE",
        "middle_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017579",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6352000460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Cook, PA-C
• Lisa Ann Cook
• Lora Cook
• Marianne Frances Cook, LMSW
• Patricia Cook, LMSW, LPC
• Stacia Lynnette Cook, CNA
• Thomas Cook, M.D.
• Laysha Cooks
• Abigail Cooley, MD
• Charmayne Gail Cooley, MD

• Clinical Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.