Organization Active NPI

Colleen M. Cook, PH.D., PLLC

  • Adult Mental Health Clinic/Center
  • Portsmouth, NH
National Provider Identifier
1679073563
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
809 Issued in NH
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

Updated by the provider on Feb 16, 2018

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.NPI 1013046135
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11658090OtherOHCAQH

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.

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.

Verify at the official NPI Registry.