DR. JONATHAN COOK PHD
NPI 1104382589
Psychologist - Clinical in Menlo Park, CA

Active since February 11, 2019Opted out of Medicare · through Feb 11, 2027
845 EL CAMINO REAL, MENLO PARK, CA 94025(650) 242-5777 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan Cook Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN COOK PHD (NPI 1104382589) is an individual clinical provider in Menlo Park, California, licensed in California (PSY30730) and active in the NPI registry since February 2019. He has opted out of Medicare through February 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104382589
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JONATHAN COOKCredential: PHD
Location Address845 EL CAMINO REALMenlo Park, CA 94025-4807
Mailing Address845 El Camino RealMenlo Park, CA 94025-4807
Sole ProprietorYes
Enumeration DateFebruary 11, 2019
NPI 1104382589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY30730
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

845 EL CAMINO REAL, Menlo Park, CA 94025

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jonathan Cook Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 11, 2019 through February 11, 2027.

Opt-Out Effective DateFebruary 11, 2019
Opt-Out In Effect ThroughFebruary 11, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Cognitive & Behavioral)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025
Psychologist (Clinical)
845 EL CAMINO REAL
MENLO PARK, CA 94025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Cook's NPI number?

The NPI number for Jonathan Cook is 1104382589. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Where is Jonathan Cook located?

Jonathan Cook practices at 845 El Camino Real, Menlo Park, CA 94025. The listed phone number is (650) 242-5777.

What is Jonathan Cook's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jonathan Cook enrolled in Medicare?

No. Jonathan Cook has opted out of Medicare through February 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jonathan Cook was last updated on February 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.