Pamela R Cook, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009282 Issued in IL

Practice address

2081 Calistoga Dr Ste 3N
New Lenox, IL 60451-4834

Phone

(815) 277-9906

Fax

(815) 277-9907

NPI assigned

Nov 26, 2014

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

Other names 1

• Pamela R Vander Ley Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuro Assessment Services PLLCGroup PAC ID 5496133662, 2 clinicians

Practice addresses (Care Compare)

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.

• Neuro Assessment Services PLLC

  • Clinical Psychologist
  • New Lenox, IL
  • NPI 1922745546
  Medicare reassignment Care Compare group NPD Authorized official
• Riverside Health System

  • General Practice Physician
  • Kankakee, IL
  • NPI 1417061193
  Medicare reassignment NPD
• Riverside Health System

  • Psychiatry Physician
  • Kankakee, IL
  • NPI 1336354430
  NPD

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1932506458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 CALISTOGA DR STE 3N",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514834",
            "telephone_number": "815-277-9906",
            "fax_number": "815-277-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 CALISTOGA DR STE 3N",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514834",
            "telephone_number": "815-277-9906",
            "fax_number": "815-277-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "PAMELA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "VANDER LEY",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connections Medical Group Associates LLC
• John T Connell, ATC
• Amanda Connelly, CNM
• Nicholas Luke Contestabile, DC
• Anastasia Contreras
• Kristen Michelle Cooke
• Ross D Coolidge, DO
• Allison Paige Coulson, CF-SLP
• Joan M Covault, DO
• Alexandra Leah Cranmer

• Clinical Psychologist in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.