COOK CHILDREN'S BEHAVIORAL HEALTH
NPI 1942509963
Psychologist - Clinical Child & Adolescent in Fort Worth, TX

NPI Status: Active since March 16, 2011

Contact Information

901 7TH AVE STE 2100
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-1480
Fax: (682) 885-3600

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent
  • Accepts Insurance
  • CLIA Number: 45D0670334
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About COOK CHILDREN'S BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Cook Children's Behavioral Health, 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 1942509963 assigned on March 2011. The practitioner's primary taxonomy code is 103TC2200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Cook Children's Behavioral Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Cook Children's Behavioral Health. The authorized official of this NPI record is Cory R Rhoades (Chief Financial Officer)

NPI
1942509963
Provider Legal Name
COOK CHILDREN'S MEDICAL CENTER
Other Organization Name
COOK CHILDREN'S BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
901 7TH AVE STE 2100 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?
Yes
Enumeration Date
03-16-2011
Last Update Date
06-05-2023
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Location Map

Secondary Locations

  • 3304 Colorado Blvd Ste 102
    Denton, TX 76210
    (940) 484-4311
  • 2727 E Southlake Blvd
    Southlake, TX 76092
    (682) 885-6051
  • 801 Matlock Rd
    Mansfield, TX 76063
    (817) 347-8450
  • 10601 N Riverside Dr
    Keller, TX 76244
    (682) 303-9648
  • 6210 John Ryan Dr Ste 106
    Fort Worth, TX 76132
    (817) 347-5220
  • 750 Mid Cities Blvd
    Hurst, TX 76054
    (817) 347-2990

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)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 OFFICER
Authorized Official Phone
(682) 885-4480

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0670334
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MARY CAROL BRENNAN, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cook Children's Behavioral Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COOK CHILDREN'S BEHAVIORAL HEALTH

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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.
1942509963
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
298210018912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 0 + 0 + 1 + 8 + 9 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1942509963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821645615 TAYLOR B HOWELL LCSW
Individual
Social Worker (Clinical)901 7TH AVE STE 2100
FORT WORTH, TX 76104
(682) 885-1480
1760965164 WHITNEY S APPLEBY PHD
Individual
Psychologist901 7TH AVE STE 2100
FORT WORTH, TX 76104
(682) 885-1480
1174007942 SHEILA M CAMP LPC
Individual
Counselor (Professional)901 7TH AVE STE 2100
FORT WORTH, TX 76104
(682) 885-1480
1649618513 ELIZABETH TERRELL BROWN LPC
Individual
Counselor (Professional)901 7TH AVE STE 2100
FORT WORTH, TX 76104
(148) 068-2885
1306565585 SOPHIA WINSTON ELDRED PHD
Individual
Psychologist (Clinical Child & Adolescent)901 7TH AVE STE 2100
FORT WORTH, TX 76104
(682) 885-3917

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942509963, enumerated in the NPI registry as an "organization" on March 16, 2011

The provider is located at 901 7th Ave Ste 2100 Fort Worth, Tx 76104 and the phone number is (682) 885-1480

This medical organization specializes in Psychologist with taxonomy code 103TC2200X with a focus in Clinical Child & Adolescent

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D0670334 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 16, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.