Cohen Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

020858 Issued in NY

Legal business name

COHEN PSYCHOLOGICAL SERVICES, PLLC

Practice address

191 Bradley Ave
Staten Island, NY 10314-5166

Phone

(516) 558-3010

Fax

(516) 558-3011

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Elie Cohen, PH.D.NPI 1457751059

Title

Owner

Phone

(516) 558-3010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ICAN Innovative Counseling and Assessment of Nassau Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elie Natan Cohen, PHD

  • Clinical Psychologist
  • Hewlett, NY
  • NPI 1457751059
  Medicare reassignment Authorized official
• Nina Sasso, LCSW

  • Clinical Social Worker
  • Hewlett, NY
  • NPI 1164025706
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1053768424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HIGHWAY",
            "address_2": "SUITE 500 #6409",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "516-558-3010",
            "fax_number": "516-558-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BRADLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145166",
            "telephone_number": "516-558-3010",
            "fax_number": "516-558-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1226 W Broadway",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Hewlett",
            "state": "NY",
            "postal_code": "115571923",
            "country_code": "US",
            "telephone_number": "516-558-3010",
            "fax_number": "516-558-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COHEN PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-558-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03965299",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICAN Innovative Counseling and Assessment of Nassau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Deford Cofield, SLP
• Alecia Joy Cogan, RD
• Deborah A Cognata, DC
• Cognitive Behavorial Therapy Mental Health Counseling PLLC
• Cognitive Therapy If Si Pysch SVCS & Lic Mental Health Counselor PLLC
• Allen Cohen, RPH
• Amy Cohen, MD
• Diane Cohen, RN
• Ellie S Cohen, OTR
• Eric Paul Cohen

• Clinical Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.