Individual provider Active NPI

Sheryl Glenn Cook, PH.D.

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1750420816
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY15449 Issued in CA
Practice address
1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951
Phone
(760) 525-6699
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY15449 CA Primary

Addresses

Primary practice location

1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951

Mailing address

1465 Encinitas Blvd
Suite H
Encinitas, CA 92024-2951
Phone (760) 525-6699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180501001041 CA Practitioner - Clinical Psychologist 9537454061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15449CAMDClinical Psychologist
15449CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc CurrentSince May 4, 2021 Accepting new patients
North County Health Project Inc Current Accepting new patients
North County Health Project Inc CurrentSince May 4, 2021 Accepting new patients
Scripps Health Current Accepting new patients
North County Health Project Inc Clinical PastSince Oct 2, 2022 Accepting new patients

Locations

1130 2nd St
Encinitas, CA 92024
Phone (760) 753-7842

619 Crouch St
Ste 100
Oceanside, CA 92054
Phone (760) 736-6700

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: scook43500@scrippshlth.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1750420816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 ENCINITAS BLVD",
            "address_2": "SUITE H",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242951",
            "telephone_number": "760-525-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 ENCINITAS BLVD",
            "address_2": "SUITE H",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242951",
            "telephone_number": "760-525-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SHERYL",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.