Active NPI
Barry Daniel Cohen, PH.D.
- Clinical Psychologist
- Studio City, CA
National Provider Identifier
1053445304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 5786
- Practice address
- 12456 Ventura Blvd Ste 1
Studio City, CA 91604-2484 - Phone
- (310) 859-0505
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 5786 | CA | Primary |
Addresses
Primary practice location
12456 Ventura Blvd Ste 1
Studio City, CA 91604-2484
Mailing address
9903 Santa Monica Blvd # 412
Beverly Hills, CA 90212-1606
Phone (310) 859-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101117000664 | CA | Practitioner - Psychologist Billing Independently | 4486849338 | Practice locations: Studio City, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12456 Ventura Blvd
Suite 1
Studio City, CA 91604-2484
Phone (310) 859-0505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 5786 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1053445304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9903 SANTA MONICA BLVD # 412",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121606",
"telephone_number": "310-859-0505",
"fax_number": "310-859-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12456 VENTURA BLVD STE 1",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916042484",
"telephone_number": "310-859-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "BARRY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 5786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Studio City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.