Philip James Cooke, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

071.010233 Issued in IL

Practice address

1700 W Irving Park Rd Ste 305B
Chicago, IL 60613-2462

Phone

(773) 769-7445

NPI assigned

Feb 1, 2020

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chicago Psychoanalytic Institute

  • Psychologist
  • Chicago, IL
  • NPI 1306856950
  NPD (past)

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

{
    "created_epoch": "1580515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1902437510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 W HOOD AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601994",
            "telephone_number": "301-661-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 305B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132462",
            "telephone_number": "773-769-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "PHILIP",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-01",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "071.010233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Cooke, MD
• Alexandra D Cooke, MD
• Catherine Lee Cooke, LCPC
• Gerald L Cooke, MD
• Ian Cooke
• Chelsea Cooks
• Minnie J Cooks
• Emily Anne Cooksey, CADC, LCSW
• Cool Crown Health Care Services Limited
• Jo Nell Marie Cool, DC, ND, CACCP

• Counseling Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Counseling Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.