Individual provider Active NPI

Jo-Ann Cohn, PSY.D

  • Clinical Psychologist
  • State College, PA
National Provider Identifier
1093928194
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015394 Issued in PA
Practice address
119 S. Burrowes St.
Suite 102
State College, PA 16801-3863
Phone
(814) 258-2300
Fax
(814) 867-0954
NPI assigned
May 7, 2007
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS015394 PA Primary

Addresses

Primary practice location

119 S. Burrowes St.
Suite 102
State College, PA 16801-3863

Mailing address

371 W Clearview Ave
State College, PA 16803-3863
Phone (814) 258-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121114000512 PA Practitioner - Clinical Psychologist 2365693660 Reassigns benefits to 1 organization
Practice locations: State College, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

371 W Clearview Ave
State College, PA 16803-1622
Phone (814) 258-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS015394PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
J Cohn Psychotherapy PLLC Clinical CurrentSince Jul 1, 2020 Accepting new patients
Julie a. States, PHD, PLLC PastSince Jun 21, 2024 Accepting new patients

Locations

119 S Burrowes St
Ste 102
State College, PA 16801
Phone (814) 258-2300

204 E Calder Way
Ste 301
State College, PA 16801
Phone (814) 404-2283

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1093928194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 W CLEARVIEW AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033863",
            "telephone_number": "814-258-2300",
            "fax_number": "814-867-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S. BURROWES ST.",
            "address_2": "SUITE 102",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168013863",
            "telephone_number": "814-258-2300",
            "fax_number": "814-867-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "JO-ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.