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Organization

Cook Children's Medical Center

NPI Record: ActivePsychologist — Clinical Child & Adolescent
NPI1942509963
Fort Worth, Texas

Provider's NPPES record last updated: June 5, 2023

Overview

Entity Type
Organization
NPI
1942509963
Primary Specialty
Psychologist — Clinical Child & Adolescent
Practice Location
Fort Worth, Texas
Organization Subpart
Yes
Parent Organization
Cook Children's Medical Center

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 8:21 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychologist

    Clinical Child & Adolescent

    Behavioral Health & Social Service Providers

    Primary

    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.

    Taxonomy code 103TC2200X
  • Counselor

    Professional

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YP2500X
  • Social Worker

    Clinical

    Behavioral Health & Social Service Providers

    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

    Taxonomy code 1041C0700X

Practice Locations

Practice Location

901 7th Ave Ste 2100

Fort Worth, Texas 76104-2722

Phone: (682) 885-1480

Additional Practice Location

3304 Colorado Blvd Ste 102

Denton, Texas 76210-6872

Phone: (940) 484-4311

Fax: (940) 484-5075

Additional Practice Location

2727 E Southlake Blvd

Southlake, Texas 76092-6613

Phone: (682) 885-6051

Fax: (682) 885-6055

Additional Practice Location

801 Matlock Rd

Mansfield, Texas 76063-9174

Phone: (817) 347-8450

Fax: (817) 453-7967

Additional Practice Location

10601 N Riverside Dr

Keller, Texas 76244-2118

Phone: (682) 303-9648

Fax: (682) 303-9708

Additional Practice Location

6210 John Ryan Dr Ste 106

Fort Worth, Texas 76132-4121

Phone: (817) 347-5220

Fax: (817) 361-7521

Additional Practice Location

750 Mid Cities Blvd

Hurst, Texas 76054-2792

Phone: (817) 347-2990

Fax: (817) 485-4133

Other Names

  • Cook Children's Behavioral HealthReported March 16, 2011
  • Cook Children's Behavioral HealthReported November 20, 2018

Record Information

Enumeration Date
March 16, 2011
Provider's NPPES Record Last Updated
June 5, 2023
Certification Date
June 5, 2023
NPISignal NPPES Dataset
August 2026

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