DR. SUSAN JANE COOK (EDD) – Psychologist, NPI 1023102613

DR. SUSAN JANE COOK (EDD) is a healthcare provider. based in Yarmouth, Maine. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials EDD. They hold a License No. PS872 (ME). The NPI Number for DR. SUSAN JANE COOK (EDD) is 1023102613

Main info

Female
40 Years Of Experience
Name
DR. SUSAN JANE COOK (EDD)
NPI
1023102613
Phone
(207) 846-3935
Address
261 MAIN ST
Enumeration Date
3 October 2006
Last Update Date
11 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078463935
Graduation Year
1986 (40 years ago)
PAC ID
6608818257
Professional Enrollment ID
I20050524001294
Address ID
ME040111932BR10XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

173 CLINICAL PSYCHOLOGIST in ME

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Provider Addresses for DR. SUSAN JANE COOK (EDD)

  • 261, Main Street, Yarmouth, Cumberland County, Maine, 04096, United States

    YARMOUTH, ME 04096

    Phone: (207) 846-3935

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050524001294IClinical PsychologistMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04096)

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Reviews

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Frequently asked questions

What identifier follows DR. SUSAN JANE COOK (EDD) across health systems?
The NPI 1023102613 uniquely identifies DR. SUSAN JANE COOK (EDD) in U.S. healthcare data.
Is DR. SUSAN JANE COOK (EDD) currently accepting referrals based on NPI status?
Registry metadata lists DR. SUSAN JANE COOK (EDD) as active.
What type of care does DR. SUSAN JANE COOK (EDD) provide?
DR. SUSAN JANE COOK (EDD)'s profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SUSAN JANE COOK (EDD)?
DR. SUSAN JANE COOK (EDD) is associated with Yarmouth, Maine in the same public data insurers reference.
Who maintains DR. SUSAN JANE COOK (EDD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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