Cook Behavioral Health Clinic, PC
NPI 1265691257ActiveOrganization· Psychologist· Fort Wayne, IN
Psychologist in Fort Wayne, Indiana, registered in NPPES in June 2008. The authorized official on file is Jason T. Cook, PSYD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265691257 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2008 |
| Last updated in NPPES | Jun 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 20041587A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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