NPIMap

Organization Active NPI

Cook Consulting & Psychological Services,PC

Doing business as Joan L Cook

  • Clinical Psychologist
  • Leo, IN
National Provider Identifier
1881703601
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042048A Issued in IN
Legal business name
COOK CONSULTING & PSYCHOLOGICAL SERVICES,PC
Doing business as
Joan L Cook
Practice address
10228 Donald Ave
Leo, IN 46765-9507
Phone
(260) 602-5373
Fax
(260) 627-8460
NPI assigned
Aug 29, 2006
Last updated
Dec 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Dr. Joan L Cook, PSY.D, HSPPNPI 1801865837
Title
Owner
Phone
(260) 602-5373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20042048A IN Primary

Addresses

Primary practice location

10228 Donald Ave
Leo, IN 46765-9507

Mailing address

11123 Parkview Plaza Dr
Suite 200
Fort Wayne, IN 46845-1707
Phone (260) 602-5373

Other names 1

  • Joan L Cook Doing business as

National Provider Directory

National Provider Directory

Locations

11123 Parkview Plaza Dr
#Sp
Fort Wayne, IN 46845
Phone (260) 602-5373

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1881703601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11123 PARKVIEW PLAZA DR",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451707",
            "telephone_number": "260-602-5373",
            "fax_number": "260-627-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10228 DONALD AVE",
            "city": "LEO",
            "state": "IN",
            "postal_code": "467659507",
            "telephone_number": "260-602-5373",
            "fax_number": "260-627-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CONSULTING & PSYCHOLOGICAL SERVICES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-602-5373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042048A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joan L Cook",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.