Jacey Lynn Cook, LLP
NPI 1629259361ActiveIndividual· Psychologist, Clinical· Sault Sainte Marie, MI
Psychologist, Clinical (LLP) with Old Town Psychological Services, practicing in Sault Sainte Marie, Michigan. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1629259361 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LLP |
| Sole proprietor | No |
| NPI issued | Nov 23, 2007 |
| Last updated in NPPES | Nov 23, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301013688 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Old Town Psychological ServicesTraverse City, MI · 8 clinicians
Other clinical psychologists in Sault Sainte Marie
- 1053685487
- 1124116223
- 1497299309
- 1770618829