COOK CHILDREN'S MEDICAL CENTER
NPI 1710702907
Psychologist - Clinical Child & Adolescent in Fort Worth, TX

NPI Status: Active since November 21, 2024

Contact Information

1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-1480
Fax: (682) 885-3600

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent

About COOK CHILDREN'S MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Cook Children's Medical Center, a provider established in Fort Worth, Texas operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1710702907 assigned on November 2024. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an organization and their NPI record was last updated one year ago. Cook Children's Medical Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Cory R Rhoades (Chief Financial Officier)

NPI
1710702907
Provider Name
COOK CHILDREN'S MEDICAL CENTER
Entity Type
Organization
Location Address
1500 COOPER ST FORT WORTH, TX 76104
Location Phone
(682) 885-1480
Location Fax
(682) 885-3600
Mailing Address
PO BOX 99213 FORT WORTH, TX 76199
Mailing Phone
(682) 885-1860
Mailing Fax
(682) 885-3600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2024
Last Update Date
11-21-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CORY R RHOADES

Authorized Official Title
CHIEF FINANCIAL OFFICIER
Authorized Official Phone
(682) 885-4480

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710702907
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720140490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 4 + 0 + 4 + 9 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1710702907 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

JAMES P MILLER MD

Surgery

(Pediatric Surgery)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-7080

JANICE L RANDEL CPNP

Nurse Practitioner

(Pediatrics)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-2140

MAYNARD C DYSON MD

Pediatrics

(Pediatric Pulmonology)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-6299

WILLIAM P BOWMAN MD

Pediatrics

(Pediatric Hematology-Oncology)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-4007

RONALD G BURKE MD

Orthopaedic Surgery

(Pediatric Orthopaedic Surgery)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-4405

NANCY N DAMBRO MD

Pediatrics

(Pediatric Pulmonology)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-6299

LARRY D MESSER MD

Orthopaedic Surgery

(Pediatric Orthopaedic Surgery)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-4405

DONALD K MURPHEY MD

Pediatrics

(Pediatric Infectious Diseases)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-1485

JEFFERY C MCGLOTHLIN MD

Psychiatry & Neurology

(Neurology with Special Qualifications in Child Neurology)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-2500

HINTON H HAMILTON III MD

Orthopaedic Surgery

(Pediatric Orthopaedic Surgery)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-4405

LYN I HUNT MD

Pediatrics

(Pediatric Gastroenterology)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-1990

JOANN M SANDERS MD

Pediatrics

(Pediatric Hematology-Oncology)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-4007

TODD D PEARSON MD

Pediatrics

(Hospice and Palliative Medicine)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-1475

JOY L ZAJAC PNP

Nurse Practitioner

(Pediatrics)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-2500

MELISSA A LEMOINE PNP

Nurse Practitioner

(Pediatrics)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-4260

REBECCA A SMITH CPNP

Nurse Practitioner

(Pediatrics)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-4007

SCHARLYN R HENDERSON LCSW

Social Worker

(Clinical)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-1475

KIRSTIN WEBSTER FNP

Nurse Practitioner

(Family)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-4405

JOANNA KATHERINE BROWNLEE CPNP

Nurse Practitioner

(Pediatrics)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-2500

TIMOTHY L BLACK MD

Surgery

(Pediatric Surgery)

1500 COOPER ST
FORT WORTH, TX
ZIP 76104

(682) 885-7080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710702907, enumerated as an "organization" on November 21, 2024.

The provider is located at 1500 COOPER ST FORT WORTH, TX 76104 and the phone number is (682) 885-1480.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.