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Deactivated NPI 1396824710 Deactivated / Inactive NPI Male Practitioner

Keith E Cook , LIC PSYCHOLOGIST

Psychologist • Waterville, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Keith Cook has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 05, 2006
NPI Deactivation Date July 01, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Keith Cook, LIC PSYCHOLOGIST was a registered Psychologist practicing in Waterville, ME. Throughout an active medical career spanning 16 years, Keith Cook provided care at the practice location at 60 FRONT ST until profile deactivation on 2022-07-01.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

60 Front St

Waterville, ME 049016658

Telephone 2078732567

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Waterville, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.6 Yrs
State Avg: 30.5 Yrs
Regional Practice Density
15 Specialists

Practicing in Waterville, ME (281 Statewide)

Telehealth Adoption Rate
13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
228 19 $145.00 $76.61

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License ME PS303

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Jeri Stevens , PhD, LCPC

Counselor - Mental Health

NPI 1003964115

Doctor of Philosophy (Ph.D.), Licensed Clinical Professional Counselor

Thomas Mcwalters , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1013156389

Licensed Alcohol and Drug Counselor

Dr. Sally Harwood , PhD

Counselor - Professional

NPI 1063658482

Doctor of Philosophy (Ph.D.)

Carol Jollotta , LCSW

Social Worker - Clinical

NPI 1093873507

Licensed Clinical Social Worker

Paul Silverman , LCPC - C

Counselor - Mental Health

NPI 1265733810

LCPCC

NPI 1386766582

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 01, 2022

Record deactivated on July 01, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 60 FRONT ST, WATERVILLE, ME 049016658 (Tel: 2078732567)

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Updated Business Mailing Address July 08, 2007

Registered at 28 GREENWOOD ST, WATERVILLE, ME 049016233 (Tel: 2078735091)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH COOK, LIC. PSYCHOLOGIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PS303 in ME)

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Initial NPI Registration & Enumeration November 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396824710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2006
Last Update: July 08, 2007
Deactivation Date: July 01, 2022

Mailing Address

28 Greenwood St

Waterville, ME 049016233

Phone: 2078735091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.