Individual provider Active NPI

Malcolm Cook, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1588064208
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11019878 Issued in FL
Practice address
787 37TH St Ste 140
Vero Beach, FL 32960-7305
Phone
(772) 257-8224
Fax
(772) 252-3245
NPI assigned
Aug 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11019878 FL Primary

Addresses

Primary practice location

787 37TH St Ste 140
Vero Beach, FL 32960-7305

Mailing address

1555 Indian River Blvd Ste B210
Vero Beach, FL 32960-7113
Phone (772) 257-8224

Other identifiers 2

IdentifierTypeStateIssuer
APRN11019878OtherFLMEDICAL LICENSE
120499400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150102000196 DC Practitioner - Nurse Practitioner 1456674266 Reassigns benefits to 1 organization
I20200418000272 MD Practitioner - Nurse Practitioner 1456674266 Reassigns benefits to 1 organization
I20230429000203 FL Practitioner - Nurse Practitioner 1456674266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compassionate Psychiatric Services LLCGroup PAC ID 6608153911, 5 clinicians

Practice addresses (Care Compare)

1702 Club Dr
Vero Beach, FL 32963-2258
Phone (772) 332-2635

787 37TH St
Suite 140
Vero Beach, FL 32960-7305
Phone (772) 257-8224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Community Health Inc CurrentSince Jul 8, 2024 Accepting new patients
Washington Hospital Center Corp CurrentSince Oct 22, 2018 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Little Love Notes CurrentSince Aug 9, 2023 Accepting new patients
Washington Hospital Center Corp CurrentSince Oct 22, 2018 Accepting new patients
Treasure Coast Community Health Inc Current Accepting new patients
Treasure Coast Community Health Inc CurrentSince Jul 8, 2024 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

12196 County Road 512
Fellsmere, FL 32948
Phone (561) 571-8828

1555 Indian River Blvd
Ste B210
Vero Beach, FL 32960

1553 US Highway 1
Vero Beach, FL 32960
Phone (772) 562-3234

1545 9th St SW
Vero Beach, FL 32962
Phone 77225782241908

2134 Espey Ct
Ste 3
Crofton, MD 21114
Phone (301) 261-6966

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1588064208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 INDIAN RIVER BLVD STE B210",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607113",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE 140",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "772-257-8224",
            "fax_number": "772-252-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MALCOLM",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11019878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "APRN11019878",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120499400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.