Individual provider Active NPI

Andrea Gayle Cook, PHD

  • Health Psychologist
  • Half Moon Bay, CA
National Provider Identifier
1679729974
Registry record updated Jul 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Practice address
625 Miramontes St Ste 100D
Half Moon Bay, CA 94019-1942
Phone
(650) 489-2299
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X Primary

Addresses

Primary practice location

625 Miramontes St Ste 100D
Half Moon Bay, CA 94019-1942

Mailing address

PO Box 913
Pescadero, CA 94060-0913
Phone (650) 489-2299

Other practice location 1

222 Paul Scannell Dr
San Mateo, CA 94402-4061
Phone (650) 312-5347

Other practice location 2

5720 Cabrillo Hwy
Pescadero, CA 94060-9725
Phone (650) 489-2299

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1679729974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 913",
            "city": "PESCADERO",
            "state": "CA",
            "postal_code": "940600913",
            "telephone_number": "650-489-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MIRAMONTES ST STE 100D",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191942",
            "telephone_number": "650-489-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Paul Scannell Dr",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944024061",
            "country_code": "US",
            "telephone_number": "650-312-5347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5720 Cabrillo Hwy",
            "address_purpose": "LOCATION",
            "city": "Pescadero",
            "state": "CA",
            "postal_code": "940609725",
            "country_code": "US",
            "telephone_number": "650-489-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANDREA",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.