Jennifer Cooke Staat, PHD - Psychologist in Wilmington, NC

Jennifer Cooke Staat, PHD is a Psychologist based in Wilmington, North Carolina. Jennifer Cooke Staat is licensed to practice in North Carolina (license number 2505) and her current practice location is 4608 Cedar Ave, Suite 106, Wilmington, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 547-3093.

NPI number for Jennifer Cooke Staat is 1902883119 and her current mailing address is 4608 Cedar Avenue, Suite 106, Wilmington, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902883119.

Contact Information

Jennifer Cooke Staat, PHD
4608 Cedar Ave, Suite 106,
Wilmington, NC 28403-4419
(910) 547-3093
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Cooke Staat
GenderFemale
SpecialityPsychologist
Location4608 Cedar Ave, Wilmington, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902883119
  • Provider Enumeration Date: 12/29/2005
  • Last Update Date: 10/30/2007

Medical Identifiers

Medical identifiers for Jennifer Cooke Staat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902883119NPI-NPPES
240133OtherNCCOMPSYCH
NCMC034119OtherNYVALUE OPTIONS
046K0OtherNCBLUE CROSS BLUE SHIELD
D6590OtherNCMEDCOST
6000577MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 2505 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Cooke Staat is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Cooke Staat, PHD
4608 Cedar Avenue, Suite 106,
Wilmington, NC 28403

Ph: (910) 547-3093
Jennifer Cooke Staat, PHD
4608 Cedar Ave, Suite 106,
Wilmington, NC 28403-4419

Ph: (910) 547-3093

Reviews and Comments


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