Marlene Cresci Cohen, PHD, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY11616 Issued in CA

Practice address

1015 12TH St
Modesto, CA 95354-0838

Phone

(209) 522-2992

Fax

(209) 522-2993

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marlene Cresci Adair Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013044742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 RIVEROAKS DR.",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95356",
            "telephone_number": "209-545-3657",
            "fax_number": "209-545-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 12TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540838",
            "telephone_number": "209-522-2992",
            "fax_number": "209-522-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MARLENE",
        "middle_name": "CRESCI",
        "name_prefix": "Dr.",
        "credential": "PHD,  PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "ADAIR",
            "middle_name": "CRESCI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Coffee Road Surgery Center, LLC
• Leah Elizabeth Coffee
• Heather Cohen, MD
• Jonathan Cohen, M.D.
• Laura Cohen, BCBA
• Maryah Cohen, ATC
• Antonio Kobyashi Coirin, M.D.
• Sara Katelyn Coito
• Christine Cole, RN,PHN
• Jessica Dawn Cole

• Psychologist in Modesto, CA
• Providers in Modesto, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.