OrganizationActive
Cook Children'S Medical Center - Prosper
NPI 1508578121 · Clinical Child & Adolescent Psychologist · Prosper, TX
Provider details
- NPI number
- 1508578121
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Cook Children'S Medical Center - Prosper
- Organization subpart
- Yes
- Authorized official
- Cory Rhoades, Chief Financial Officer(682) 885-4880
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Practice location
4200 W University Dr
Prosper, TX 75078-9805
Phone: (940) 484-4311
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 730108
Dallas, TX 75373-0108
Other names (DBA / former)
- Other name
- Cook Children'S Psychology Prosper
- Other name
- Cook Children'S Psychology Prosper
Registry dates
- Enumerated
- 2022-12-14
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.