Healthcare Provider Details

I. General information

NPI: 1194161810
Provider Name (Legal Business Name): SAMANTHA ANN COOK PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA ANN HIMES M.A.

II. Dates (important events)

Enumeration Date: 05/21/2013
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6949 GOOD SAMARITAN DR STE 220
CINCINNATI OH
45247-5205
US

IV. Provider business mailing address

4685 FOREST AVE
CINCINNATI OH
45212-3397
US

V. Phone/Fax

Practice location:
  • Phone: 513-246-8900
  • Fax: 513-353-0160
Mailing address:
  • Phone: 513-246-1964
  • Fax: 513-852-8525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP.7356
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: