JENNIFER COOKE STAAT PH.D.
NPI 1902883119
Psychologist in Wilmington, NC

Active since December 29, 2005
4608 CEDAR AVE, SUITE 106, WILMINGTON, NC 28403(910) 547-3093 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Cooke Staat Ph.d. NPPES

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

JENNIFER COOKE STAAT PH.D. (NPI 1902883119) is an individual psychologist in Wilmington, North Carolina, licensed in North Carolina (2505) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1902883119
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER COOKE STAATCredential: PH.D.
Location Address4608 CEDAR AVE, SUITE 106Wilmington, NC 28403-4419
Mailing Address4608 Cedar Avenue, Suite 106Wilmington, NC 28403 · (910) 547-3093
Sole ProprietorYes
Enumeration DateDecember 29, 2005
Last NPPES UpdateOctober 30, 2007
NPI 1902883119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 2505
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4608 CEDAR AVE, Wilmington, NC 28403

Other Names 1

Former Name (1)Jennifer Lee Cooke Ph.d.

Other Identifiers 6

Other240133NC · Compsych
Medicare ID-Type Unspecified2819849ANC
Other046K0NC · Blue Cross Blue Shield
OtherNCMC034119NY · Value Options
OtherD6590NC · Medcost
Medicaid6000577NC

Other Providers at the Same Location NPPES 4

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

Psychologist
4608 CEDAR AVE, SUITE 106
WILMINGTON, NC 28403
Counselor (Professional)
4608 CEDAR AVE, SUITE 110
WILMINGTON, NC 28403
Social Worker (Clinical)
4608 CEDAR AVE
WILMINGTON, NC 28403
Counselor (Professional)
4608 CEDAR AVE, SUITE 114
WILMINGTON, NC 28403

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 Jennifer Staat's NPI number?

The NPI number for Jennifer Staat is 1902883119. It was assigned to this individual provider in the NPPES registry on December 29, 2005. The provider is also known as Jennifer Lee Cooke Ph.D..

Where is Jennifer Staat located?

Jennifer Staat practices at 4608 Cedar Ave Suite 106, Wilmington, NC 28403. The listed phone number is (910) 547-3093.

What is Jennifer Staat's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Staat was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.