Provider Demographics
NPI:1265995773
Name:NOOK, ERIK C (PHD)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:C
Last Name:NOOK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MONROE CT
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-9516
Mailing Address - Country:US
Mailing Address - Phone:347-835-1254
Mailing Address - Fax:
Practice Address - Street 1:240 CENTRAL PARK S APT 2J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1435
Practice Address - Country:US
Practice Address - Phone:212-518-8162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025102103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist