DR. JONATHAN COOK PHD
NPI 1104382589
Psychologist - Clinical in Menlo Park, CA
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
Specialties & Licenses
Group Practice 1
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.
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.
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.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jonathan Cook, PHD · NPI 1104382589
Clinical provider in Menlo Park, California. Individual provider, active in the CMS NPPES registry since February 11, 2019.
## Identity
- **NPI:** 1104382589 (Entity type: Individual)
- **Enumerated:** February 11, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY30730 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 845 EL CAMINO REAL, Menlo Park, CA 94025-4807
- **Phone:** (650) 242-5777
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 11, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** February 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104382589) · Data from the CMS NPPES public registry.