MRS. PHYLLIS T. COOK (NPI# 1487712907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487712907 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS T. COOK |
| Credential | CAC-AD, CCDC, ICADC |
| Practice Address |
2823 Ocean Gtwy Cambridge MD 21613-3403 |
| Mailing Address |
8715 Shadow Ln Delmar MD 21875-2551 |
| Practice Telephone | 4102216343 |
| Practice Fax Number | 4102216342 |
| Mailing Telephone | 4102216343 |
| Mailing Fax Number | 4102216342 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
AC0191 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CERTIFIED ADDICTION COUNS | AC0191 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528338415 | Phyllis Irene Cook | Counselor | 707 S Pearl Ave, Joplin, MO 64801-4334 | 2012-01-09 |
| 1982719001 | Phyllis Byers Cook | Dentist | 7028 Wrightsville Ave, Wilmington, NC 28403-3655 | 2006-08-20 |
| 1992136543 | Phyllis M Cook | Nurse Practitioner | 400 Stanley St, Fall River, MA 02720-6009 | 2013-12-09 |
| 1114119641 | Phyllis Danette Cook | Physical Therapy Assistant | 1010 W Main St, Henderson, TX 75652-2923 | 2007-08-17 |
| Street Address |
2823 OCEAN GTWY |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427005941 | Choices Family Services, LLC | Clinic/Center | 2823 Ocean Gtwy, Cambridge, MD 21613-3403 | 2006-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972081842 | Stacey Michelle Landrie | Counselor | 828 Airpax Rd Ste 300, Cambridge, MD 21613-6401 | 2018-08-02 |
| 1184133720 | Nancy Lou Mcintire | Counselor | 927 Wheeling Ave Suite 310, Cambridge, OH 43725 | 2017-09-27 |
| 1508382656 | Charles Rice | Counselor | 927 Wheeling Ave Ste 310, Cambridge, OH 43725-2340 | 2017-08-21 |
| 1356877559 | Jane Engott | Counselor | 841 Stubenville Ave, Cambridge, OH 43725 | 2017-05-08 |
| 1922404672 | Don L Moyer | Counselor | 1700 E Rum River Dr S Ste B, Cambridge, MN 55008-2558 | 2014-11-07 |
| 1821414103 | Amanda Devolld | Counselor | 1225 Woodlawn Ave, Cambridge, OH 43725-3094 | 2014-03-11 |
| 1891122180 | John Bradford Meigs | Counselor | 15 Story St Ste 1, Cambridge, MA 02138-4950 | 2013-10-01 |
| 1568804581 | Peter Winsor Pruyn | Counselor | 6 Tremont St # 2, Cambridge, MA 02139-1223 | 2013-07-18 |
| 1164796934 | Gurty Jean-denis | Counselor | 18 Leonard Ave, Cambridge, MA 02139-1020 | 2012-02-26 |
| 1760676738 | Jean Finlayson | Counselor | 610 Locust St, Cambridge, MD 21613-1706 | 2007-08-31 |
| Find all providers in CAMBRIDGE | ||||
Please comment or provide details below to improve the information on MRS. PHYLLIS T. COOK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.