Active NPI
Robert M. Cohen, M.A.
- Psychologist
- Laveen, AZ
National Provider Identifier
1003959032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 7215 W Alta Vista Rd
Laveen, AZ 85339-2669 - Phone
- (480) 437-4301
- NPI assigned
- Feb 15, 2007
- Last updated
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | AZ | Primary |
Addresses
Primary practice location
7215 W Alta Vista Rd
Laveen, AZ 85339-2669
Mailing address
7215 W Alta Vista Rd
Laveen, AZ 85339-2669
Phone (480) 437-4301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896079 | Other | AZ | AHCCCS ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1003959032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 W ALTA VISTA RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853392669",
"telephone_number": "480-437-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7215 W ALTA VISTA RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853392669",
"telephone_number": "480-437-4301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "ROBERT",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS ID",
"identifier": "896079",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.