Joan Lynn Cook, PSY.D, HSPP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042048A Issued in IN

Practice address

2116 Hadleigh Hills CT
Navarre, FL 32566-3392

Phone

(260) 602-5373

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cook Consulting & Psychological Services,PC

  • Clinical Psychologist
  • Leo, IN
  • NPI 1881703601
  NPD (past) Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1801865837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 HADLEIGH HILLS CT",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663392",
            "telephone_number": "260-602-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 HADLEIGH HILLS CT",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663392",
            "telephone_number": "260-602-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JOAN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D, HSPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042048A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200835520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Collins
• Comfortable Care Dental Health Professionals, P.a.
• Kristen Commander
• Comprehensive Home Care of North West Florida
• Garnett Cook, APRN
• Elizabeth C. Cooper-Galvan, MS
• Mia Copeland, PT, DPT
• Core Insight Behavioral Health LLC
• Cornerstone Counseling Group, LLC
• Cathy Jean Correa, SLP

• Clinical Psychologist in Navarre, FL
• Providers in Navarre, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.