Susan M. Cohen, Psy.D. LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY742 Issued in HI

Legal business name

SUSAN M. COHEN, PSY.D. LLC

Practice address

577 Pamaele St
Kailua, HI 96734-3529

Phone

(808) 262-5335

Fax

(808) 230-2132

NPI assigned

Jan 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Susan M Cohen, PSY.D.NPI 1295864080

Title

President

Phone

(808) 262-5335

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 1

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

• Susan Marie Cohen, PSY.D.

  • Psychologist
  • Kailua, HI
  • NPI 1295864080

  HI, Psychologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1134540495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 PAMAELE ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343529",
            "telephone_number": "808-262-5335",
            "fax_number": "808-230-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 PAMAELE ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343529",
            "telephone_number": "808-262-5335",
            "fax_number": "808-230-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN M. COHEN, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-262-5335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5366790",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyryl Suison, AU.D, CCC-A
• Patrick James Sullivan, DC
• Summer T. Wood, D.M.D., L.L.C.
• John David Allen Summers
• Sunnyside Medical Clinic LLC
• Susan S. Hiraoka, DPM, LLC
• Susan Vicenti MD, LLC
• Robert B Sussman, M.D.
• Maria Cielita Sutherland
• Tara Michelle Sutphin

• All providers in Kailua, HI
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.