Natasha Cook, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005921 Issued in VA

Practice address

24947 Virginia Juniper CT
Aldie, VA 20105-6234

Phone

(703) 439-8417

NPI assigned

Aug 26, 2008

Last updated

Sep 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Expressive Therapy Center, LLC

  • Counseling Psychologist
  • Rockville, MD
  • NPI 1013158310
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1659528297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24947 VIRGINIA JUNIPER CT",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201056234",
            "telephone_number": "703-439-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24947 VIRGINIA JUNIPER CT",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201056234",
            "telephone_number": "703-439-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "NATASHA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1000417",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04554",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Gmail",
            "affiliation": "N",
            "address_1": "24947 Virginia Juniper Ct",
            "city": "Aldie",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201056234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keira Jade Claessen-Womack
• Stephanie Y Clop, M.D.
• Judith Amy Cole-Judd
• Compassionate Senior Care
• Beshara Joseph Constantine, LMHC
• Tristan Corbett, LCSW
• Core Active Physical Therapy, PLLC
• Monique N Cross
• Catherine Cunningham, OTR/L
• Elisa N Datcher

• Clinical Psychologist in Aldie, VA
• Providers in Aldie, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.