Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason T. Cook, PSYD, HSPP

Individual provider Clinical Psychologist · NPI 1043283641

Jason T. Cook, PSYD, HSPP is a Clinical Psychologist in Fort Wayne, Indiana. Qualified in 1999, 27 years ago. Practices with Cook Behavioral Health Clinic PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
27
Licensed in
IN
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

7230 Engle Rd Ste 304
Fort Wayne, IN 46804-2209
Phone: (260) 483-2400
Fax: (260) 960-9361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20041587A (IN)

Record details

NPI number1043283641
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , HSPP
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESOctober 2, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Cook Behavioral Health Clinic Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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