| Cook Children's Medical Center | |
|
1500 Cooper St Fort Worth TX 76104-2710 | |
| (682) 885-1480 | |
| (682) 885-3600 |
| Full Name | Cook Children's Medical Center |
|---|---|
| Speciality | Psychologist |
| Location | 1500 Cooper St, Fort Worth, Texas |
| Authorized Official Name and Position | Cory R Rhoades (CHIEF FINANCIAL OFFICIER) |
| Authorized Official Contact | 6828854480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Children's Medical Center Po Box 99213 Fort Worth TX 76199-0213 Ph: (682) 885-1860 | Cook Children's Medical Center 1500 Cooper St Fort Worth TX 76104-2710 Ph: (682) 885-1480 |
| NPI Number | 1710702907 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Medicare PECOS PAC ID | 5597757740 |
|---|---|
| Medicare Enrollment ID | O20180709002867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710702907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
| Provider Name | Carolyn J Cruse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790852622 PECOS PAC ID: 1951408392 Enrollment ID: I20070521000270 |
| Provider Name | Kara A Starnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750586699 PECOS PAC ID: 3779871314 Enrollment ID: I20161013001459 |
| Provider Name | Joy Melinda Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841375961 PECOS PAC ID: 3476074840 Enrollment ID: I20250303001316 |
| Provider Name | Erin Lee Hyken |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588083471 PECOS PAC ID: 6103347497 Enrollment ID: I20250303002404 |
| Provider Name | Adekolapo O Alade |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497486054 PECOS PAC ID: 0042731358 Enrollment ID: I20250303003132 |
| Provider Name | Liesl J Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700206489 PECOS PAC ID: 7012438104 Enrollment ID: I20250305002146 |
| Provider Name | Marissa L Benners |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265048417 PECOS PAC ID: 7012438138 Enrollment ID: I20250305002931 |
| Provider Name | Amanda M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205389491 PECOS PAC ID: 2466973508 Enrollment ID: I20250305003926 |
| Provider Name | Cortney Wolfe Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003065483 PECOS PAC ID: 7719160704 Enrollment ID: I20250305004271 |
| Provider Name | Katherine Diane Marczyk Organek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144761032 PECOS PAC ID: 1759802804 Enrollment ID: I20250305004381 |
| Provider Name | Felecia Nichole Terry Dunson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740451483 PECOS PAC ID: 6709307622 Enrollment ID: I20250307003344 |
| Provider Name | Amanda Saddler Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194270884 PECOS PAC ID: 4880115583 Enrollment ID: I20250311001372 |
| Provider Name | Emily M Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447092135 PECOS PAC ID: 6507387057 Enrollment ID: I20250312004054 |
| Provider Name | Whitney Bammel Appleby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760965164 PECOS PAC ID: 1355863721 Enrollment ID: I20250314003466 |
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