Beverly Anne Kolsky, MSW, LCSW, BCD-P.

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

44SC00196100 Issued in NJ

Practice address

163 Engle St.
BLDG 5
Englewood, NJ 07631

Phone

(201) 894-5499

Fax

(201) 692-9219

NPI assigned

Aug 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Beverly Anne Cohen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1053568907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 ENGLE ST.",
            "address_2": "BLDG 5",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-894-5499",
            "fax_number": "201-692-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENGLE ST.",
            "address_2": "BLDG 5",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-894-5499",
            "fax_number": "201-692-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSKY",
        "first_name": "BEVERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, BCD-P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NJ",
            "license": "44SC00196100",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "COHEN",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Akiva Klitsner
• Jennifer Kmieczak, DPM
• James Ko
• Michelle Theresa Koch, FNP
• Jeffrey Kocher, MD
• Srikant Kondapaneni, MD
• Andrew D Koplik, MD
• Reinhard Kopping, CRNA
• Rebecca Korman, MS, OTR/L
• Nicholas Kotopoulos, M.D.

• Psychoanalyst in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Psychoanalyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.