OrganizationActive
Cook Children'S Medical Center
NPI 1710702907 · Clinical Child & Adolescent Psychologist · Fort Worth, TX
Provider details
- NPI number
- 1710702907
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cory Rhoades, Chief Financial Officier(682) 885-4480
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (682) 885-1480
Fax: (682) 885-3600
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 99213
Fort Worth, TX 76199-0213
Other names (DBA / former)
- Other name
- Cook Children'S Psychology Clinics
Registry dates
- Enumerated
- 2024-11-21
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.