Active NPI
Phyllis Cohen, PSY.D
- Psychologist
- Wellesley, MA
National Provider Identifier
1154473726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6552
- Practice address
- 1 Washington St
Suite 305
Wellesley, MA 02481-1711 - Phone
- (781) 235-0339
- Fax
- (781) 237-6550
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6552 | MA | Primary |
Addresses
Primary practice location
1 Washington St
Suite 305
Wellesley, MA 02481-1711
Mailing address
1 Washington St
Suite 305
Wellesley, MA 02481-1711
Phone (781) 235-0339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 30, 2020 through Sep 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6552 | MA | MD | Psychologist |
| 6550 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154473726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WASHINGTON ST",
"address_2": "SUITE 305",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811711",
"telephone_number": "781-235-0339",
"fax_number": "781-237-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WASHINGTON ST",
"address_2": "SUITE 305",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811711",
"telephone_number": "781-235-0339",
"fax_number": "781-237-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "PHYLLIS",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.