Active NPI
Colleen M. Cook, PH.D., PLLC
- Adult Mental Health Clinic/Center
- Portsmouth, NH
National Provider Identifier
1679073563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 809
- Legal business name
- COLLEEN M. COOK, PH.D., PLLC
- Practice address
- 1 Greenleaf Woods Dr Unit 302
Portsmouth, NH 03801-5437 - Phone
- (614) 323-0813
- NPI assigned
- Feb 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Colleen Marie Cook, PH.D.
- Title
- Psychologist
- Phone
- (614) 323-0813
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 809 | NH | Primary |
Addresses
Primary practice location
1 Greenleaf Woods Dr Unit 302
Portsmouth, NH 03801-5437
Mailing address
40 Winter St
Portsmouth, NH 03801-4351
Phone (614) 323-0813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11658090 | Other | OH | CAQH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Portsmouth, NH
- NPI 1013046135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518739200000",
"number": "1679073563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 WINTER ST",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014351",
"telephone_number": "614-323-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GREENLEAF WOODS DR UNIT 302",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038015437",
"telephone_number": "614-323-0813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLEEN M. COOK, PH.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "COLLEEN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "614-323-0813",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NH",
"license": "809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11658090",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.