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COOK CHILDREN'S MEDICAL CENTER NPI 1942509963


NPI Information

NPI: 1942509963
Provider Name: COOK CHILDREN'S MEDICAL CENTER

Doing Business As: COOK CHILDREN'S BEHAVIORAL HEALTH

Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

CLIA Number: 45D0670334

Address:
901 7TH AVE STE 2100
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-1480
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COOK CHILDREN'S MEDICAL CENTER is a clinical child and adolescent psychologist in Fort Worth, TX. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. COOK CHILDREN'S MEDICAL CENTER NPI is 1942509963. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cook Children's Behavioral Health.

The provider's business location address is:

901 7TH AVE STE 2100
FORT WORTH, TX
ZIP 76104-722
Phone: (682) 885-1480
Fax: (682) 885-3600

The provider's authorized official is Cory R Rhoades .
The authorized official title is Chief Financial Officer and has the following contact phone number (682) 885-4480.

The CLIA number assigned to this NPI record is 45D0670334 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2011 and was last updated on 6/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
3103TC2200XPsychologistClinical Child & AdolescentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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