Crystal Cookman, PSY.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

1505 Issued in NH

Practice address

814 Elm St
Manchester, NH 03101-2130

Phone

(603) 860-0623

NPI assigned

May 29, 2018

Last updated

Apr 18, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1750872495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018100007",
            "telephone_number": "978-272-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012130",
            "telephone_number": "603-860-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKMAN",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "10852",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10756",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NH",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Convenientmd Laboratories, LLC
• Convenientmd LLC
• Convenientmd LLC
• Nazli Ramezani Conway, M.D.
• Emily S Cook, LICSW
• Ariel L Cooper, BA
• Brittany L Cooper, APRN
• Kevin Cooper, FNP-C
• Maryann R. Cooper, PHARM.D.
• Mark Copeland, BA

• Forensic Psychologist in Manchester, NH
• Providers in Manchester, NH by specialty
• Forensic Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.