COOK CHILDREN'S MEDICAL CENTER
NPI 1710702907
Psychologist - Clinical Child & Adolescent in Fort Worth, TX
About Cook Children's Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COOK CHILDREN'S MEDICAL CENTER (NPI 1710702907) is a healthcare organization registered as a clinical child & adolescent in Fort Worth, Texas and active in the NPI registry since November 2024. The organization lists Cory R Rhoades, Chief Financial Officier, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cook Children's Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Cook Children's Medical Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 30Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cook Children's Medical Center's NPI number?
The NPI number for Cook Children's Medical Center is 1710702907. It was assigned to this organization in the NPPES registry on November 21, 2024. The provider is also known as Cook Children's Psychology Clinics.
Where is Cook Children's Medical Center located?
Cook Children's Medical Center is located at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-1480.
What is Cook Children's Medical Center's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.
Is Cook Children's Medical Center enrolled in Medicare?
Yes. Cook Children's Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cook Children's Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 2 Medicare specialties reassign their Medicare billing to Cook Children's Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (29) and Pediatric Medicine (1). Of these, 5 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cook Children's Medical Center accept?
Health plans from Imperial Insurance Companies, Inc. list Cook Children's Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cook Children's Medical Center was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Cook Children's Medical Center · NPI 1710702907
Clinical Child & Adolescent organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since November 21, 2024.
## Identity
- **NPI:** 1710702907 (Entity type: Organization)
- **Enumerated:** November 21, 2024
- **Primary specialty:** Psychologist - Clinical Child & Adolescent · taxonomy 103TC2200X
- **Also known as:** Cook Children's Psychology Clinics (Other Name)
- **Organization subpart:** No
- **Authorized official:** Cory Rhoades, CHIEF FINANCIAL OFFICIER
## Practice location
- **Address:** 1500 COOPER ST, Fort Worth, TX 76104-2710
- **Phone:** (682) 885-1480 · **Fax:** (682) 885-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (29), Pediatric Medicine (1); 5 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1710702907/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710702907) · Data from the CMS NPPES public registry.