Active NPI
Beth Lesley Cook, PH.D.
- Clinical Neuropsychologist
- Kentfield, CA
National Provider Identifier
1780727495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY18944
- Practice address
- 1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418 - Phone
- (415) 485-3546
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY18944 | CA | Primary |
Addresses
Primary practice location
1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Mailing address
658 15TH Ave
San Francisco, CA 94118-3505
Phone (415) 666-3516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18944 | CA | MD | Clinical Neuropsychologist |
| 18944 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780727495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 15TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941183505",
"telephone_number": "415-666-3516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 SIR FRANCIS DRAKE BLVD",
"city": "KENTFIELD",
"state": "CA",
"postal_code": "949041418",
"telephone_number": "415-485-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "BETH",
"middle_name": "LESLEY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY18944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kentfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.