Individual provider Active NPI

Catherine Cook, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1649025735
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
306344 Issued in AZ
Practice address
575 W Chandler Blvd Ste 225
Chandler, AZ 85225-7534
Phone
(480) 797-9606
Fax
(480) 680-1605
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 306344 AZ Primary

Addresses

Primary practice location

575 W Chandler Blvd Ste 225
Chandler, AZ 85225-7534

Mailing address

575 W Chandler Blvd Ste 225
Chandler, AZ 85225-7534
Phone (480) 797-9606

Other practice location 1

3651 E Baseline Rd Ste 121&E104
Gilbert, AZ 85234-2689
Phone (602) 833-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
306344AZMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1649025735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 W CHANDLER BLVD STE 225",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257534",
            "telephone_number": "480-797-9606",
            "fax_number": "480-680-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 W CHANDLER BLVD STE 225",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257534",
            "telephone_number": "480-797-9606",
            "fax_number": "480-680-1605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 E Baseline Rd Ste 121&E104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342689",
            "country_code": "US",
            "telephone_number": "602-833-2829",
            "fax_number": "480-885-5621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "CATHERINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "306344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.