Samantha Leigh Cook

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

6361005331 Issued in MI

Practice address

835 Mason St Ste B220
Dearborn, MI 48124-2262

Phone

(313) 561-9064

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michigan Modern Psychology Group,PLLC

  • Clinical Psychologist
  • Dearborn, MI
  • NPI 1447701255
  NPD

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1821581091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 LONGFELLOW DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872923",
            "telephone_number": "219-204-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MASON ST STE B220",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242262",
            "telephone_number": "313-561-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SAMANTHA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MI",
            "license": "6361005331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Continum Healthcare Servises,MD
• Wendy Contreras, MD
• Convenient DB PC Inc. (Convenient Dental Care)
• Kimberlee Cook
• Rachel Lynne Cook
• Valena Shantelle Cook
• John Hosford Cooke, D.O.
• Candice Marie Cooper, LLMSW
• Jewel Faye Cooper
• Mackenzie Cooper

• Health Psychologist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Health Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.