Cognitive Nutrient Therapy

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COGNITIVE NUTRIENT THERAPY

Doing business as

Ahava Healthcare, PLLC

Practice address

301 Ashville Avenue
Suite 111
Cary, NC 27518

Phone

(984) 464-0114

Fax

(919) 932-0854

NPI assigned

Sep 26, 2024

Organization subpart

Yes

Parent organization

AHAVA HEALTHCARE, PLLCAs reported in NPPES

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

Authorized official

Name

Melanie Mintzer, MD

Title

Ceo

Phone

(919) 667-4649

Specialties & licenses 1

Addresses

Other names 1

• Ahava Healthcare, PLLC Doing business as

Tax ID family

Cognitive Nutrient Therapy3 organizations share this tax ID, including this one

Part of

Cognitive Nutrient Therapy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Ahava Healthcare, PLLC

  • Adult Medicine Physician
  • Cary, NC
  • NPI 1780262402
  NPD tax ID
• Ahava Healthcare, PLLC

  • Adult Medicine Physician
  • Cary, NC
  • NPI 1972188217
  NPD tax ID

Locations

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1134947419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ASHVILLE AVENUE",
            "address_2": "SUITE 111",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "984-464-0114",
            "fax_number": "919-932-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ASHVILLE AVENUE",
            "address_2": "SUITE 111",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "984-464-0114",
            "fax_number": "919-932-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE NUTRIENT THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AHAVA HEALTHCARE, PLLC",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "MINTZER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-667-4649",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahava Healthcare, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coffee Talk Therapy PLLC
• Sheena Dawn Coffey, DO
• Erica Cofield
• Regan Cofone
• Jill Patricia Coghlan-Uttridge, LCSW
• Heidi Cohan, PT
• Genna Cohen, MSW, LCSW
• Stacy Lynn Cohen, LCMHC
• Jennfer Kelly Coker, PH.D., LPC, NCC
• William Stephen Coker, DMD, PA

• Family Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.