Organization Active NPI

Robert S. Cook, PH.D., PC

  • Clinical Psychologist
  • North Logan, UT
National Provider Identifier
1619909116
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4787371-2501 Issued in UT
Legal business name
ROBERT S. COOK, PH.D., PC
Practice address
1750 Research Park Way
Suite 104
North Logan, UT 84341-1955
Phone
(435) 753-0272
Fax
(435) 753-2252
NPI assigned
Jul 7, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Robert Sylvester Cook, PH.D.
Title
Ceo
Phone
(435) 753-0272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4787371-2501 UT Primary

Addresses

Primary practice location

1750 Research Park Way
Suite 104
North Logan, UT 84341-1955

Mailing address

PO Box 6340
Logan, UT 84341-6340
Phone (435) 753-0272

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1619909116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6340",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416340",
            "telephone_number": "435-753-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 RESEARCH PARK WAY",
            "address_2": "SUITE 104",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411955",
            "telephone_number": "435-753-0272",
            "fax_number": "435-753-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. COOK, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SYLVESTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-753-0272",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "UT",
            "license": "4787371-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.