DR. STEPHEN BLAINE COOK (NPI# 1821194580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821194580 |
Entity Type | Individual |
Full Name | DR. STEPHEN BLAINE COOK |
Credential | PH.D. |
Practice Address |
190 Overthrust Evanston WY 82930 |
Mailing Address |
347 Clarkson Ave Evanston WY 82930-5153 |
Practice Telephone | 3077894224 |
Practice Fax Number | 3077894225 |
Mailing Telephone | 3077896620 |
Mailing Fax Number | 3077896009 |
Enumeration Date | 2006-09-16 |
Last Update Date | 2015-11-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
279 | WY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891239539 | Stephen Cook | Specialist/Technologist | 422 Route 6a, Apt. 2, East Sandwich, MA 02537 | 2016-12-15 |
1932512746 | Stephen Larry Cook | Family Medicine | 60 Mdg/sgop, 101 Bodin Circle, Travis Afb, CA 94535 | 2014-06-09 |
1093959371 | Stephen Lewis Cook | Pathology | 300 Pasteur Dr # H2110, Stanford, CA 94305 | 2009-04-30 |
1598803777 | Stephen A Cook | Dentist | 2114 Scott St, Lafayette, IN 47904-2932 | 2007-02-01 |
1093869695 | Stephen Cook | Psychologist | 18th & Boston, #111a, Lubbock, TX 79409-2051 | 2007-01-22 |
1699799544 | Stephen C Cook | Psychiatry & Neurology | 2341 Mershon Dr, Ann Arbor, MI 48103-6048 | 2006-07-26 |
1427078542 | Stephen G Cook | Family Medicine | 1102 S I St, Tacoma, WA 98405-4559 | 2006-07-20 |
1801894878 | Stephen L Cook | Internal Medicine | 1115 Se 164th Ave, Dept 358, Vancouver, WA 98683-9324 | 2005-07-13 |
1639175342 | Stephen Christopher Cook | Pediatrics | 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 | 2005-06-27 |
1831654268 | Stephen Cook | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-02-11 |
Street Address |
190 OVERTHRUST |
City | EVANSTON |
State | WY |
Zip Code | 82930 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194135343 | Julie Ann Turner | Community Health Worker | 190 Overthrust, Evanston, WY 82930 | 2014-04-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
Find all providers in zip 82930 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
1992346233 | Kiran Ramesh Mirchandani | Psychologist | 1740 Ridge Ave Ste 22, Evanston, IL 60201-5918 | 2019-10-07 |
1982181533 | Melissa Perrin | Psychologist | 2530 Crawford Ave Ste 203, Evanston, IL 60201-4959 | 2018-07-26 |
1689165250 | Mona Sue Weissmark | Psychologist | 737 Clinton Pl, Evanston, IL 60201-1765 | 2018-05-19 |
1063920957 | Tamara Miriam Claman | Psychologist | 1718 Sherman Ave Ste 210, Evanston, IL 60201-5610 | 2018-01-13 |
1619480720 | Kaelin Emery | Psychologist | 820 Davis St Ste 455, Evanston, IL 60201-4447 | 2017-11-10 |
1861905051 | Dr. Tari Mack, Inc. | Psychologist | 636 Church St Ste 415, Evanston, IL 60201-4580 | 2017-11-09 |
1639535396 | Alissa Levy Chung, Ph.d., Inc. | Psychologist | 704 South Blvd, Evanston, IL 60202-2908 | 2016-01-12 |
1114359213 | Dr Savage Psychological Services PC | Psychologist | 2550 Crawford Ave Ste 12, Evanston, IL 60201-4987 | 2013-07-31 |
1710320080 | Marni B Rosen | Psychologist | 2130 Green Bay Rd, Evanston, IL 60201-3026 | 2013-04-16 |
Find all providers in EVANSTON |
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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.