Individual provider Active NPI

Jonathan S Cohen, MD

  • Psychiatry Physician
  • Chattanooga, TN
National Provider Identifier
1083699219
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD19717 Issued in TN
Practice address
6216 Airpark Dr
Behavioral Health Associates
Chattanooga, TN 37421
Phone
(423) 899-0024
Fax
(423) 899-5688
NPI assigned
Dec 9, 2005
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD19717 TN Primary

Addresses

Primary practice location

6216 Airpark Dr
Behavioral Health Associates
Chattanooga, TN 37421

Mailing address

6216 Airpark Dr
Behavioral Health Associates
Chattanooga, TN 37421
Phone (423) 899-0024

Other identifiers 2

IdentifierTypeStateIssuer
3069665OtherBLUE CROSS BLUE SHIELD
3047846MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070518000368 TN Practitioner - Psychiatry 1658478029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 266-1490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19717TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health Psychiatry CurrentSince Mar 1, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Jan 7, 2024 Accepting new patients
Erlanger Health CurrentSince Mar 1, 2024 Accepting new patients
Resources for Human Development, Inc. CurrentSince Jan 7, 2024 Accepting new patients
Ut Physicians Inc Past Accepting new patients

Locations

4700 Wissahickon Ave
Ste 126
Philadelphia, PA 19144
Phone (267) 984-9775

5751 Uptain Rd
Ste 102
Chattanooga, TN 37411
Phone (267) 984-9775

960 E 3rd St
Ste 208
Chattanooga, TN 37403
Phone (423) 778-2550

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: jonathan.cohen.1@26609.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1083699219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 AIRPARK DR",
            "address_2": "BEHAVIORAL HEALTH ASSOCIATES",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-899-0024",
            "fax_number": "423-899-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 AIRPARK DR",
            "address_2": "BEHAVIORAL HEALTH ASSOCIATES",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-899-0024",
            "fax_number": "423-899-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD19717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3069665",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3047846",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.