Active NPI
Cognitive Pro LLC
Doing business as Cogx
- Exercise & Sports Psychologist
- Rockville, MD
National Provider Identifier
1063904902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exercise & Sports Psychologist
- Legal business name
- COGNITIVE PRO LLC
- Doing business as
- Cogx
- Practice address
- 5410 Edson LN
Suite 310
Rockville, MD 20852 - Phone
- (301) 769-6867
- NPI assigned
- Jun 6, 2018
- Last updated
- Jun 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Javier Arguello
- Title
- Executive Director
- Phone
- (203) 675-4267
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Exercise & Sports Psychologist | 103TE1100X | Primary | ||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Rehabilitation Psychologist | 103TR0400X |
Addresses
Primary practice location
5410 Edson LN
Suite 310
Rockville, MD 20852
Mailing address
5410 Edson LN
Suite 310
Rockville, MD 20852
Phone (301) 769-6867
Other names 1
- Cogx
National Provider Directory
National Provider DirectoryLocations
5410 Edson Ln
Ste 310
Rockville, MD 20852
Phone (301) 769-6867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528243200000",
"number": "1063904902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 EDSON LN",
"address_2": "SUITE 310",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-769-6867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 EDSON LN",
"address_2": "SUITE 310",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-769-6867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COGNITIVE PRO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-06",
"status": "A",
"authorized_official_last_name": "ARGUELLO",
"authorized_official_first_name": "JAVIER",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "203-675-4267",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cogx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.