Active NPI
Peter Cohen, ED.D
- Mental Health Counselor
- Wellesley, MA
National Provider Identifier
1164617346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 490
- Practice address
- 45 Chesterton Rd
Wellesley, MA 02481-1106 - Phone
- (781) 235-5145
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 490 | MA | Primary |
| Psychologist | 103T00000X | 490 | MA |
Addresses
Primary practice location
45 Chesterton Rd
Wellesley, MA 02481-1106
Mailing address
45 Chesterton Rd
Wellesley, MA 02481-1106
Phone (781) 235-5145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 490 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1164617346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CHESTERTON RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811106",
"telephone_number": "781-235-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CHESTERTON RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024811106",
"telephone_number": "781-235-5145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "490",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "490",
"primary": false
}
],
"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 Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.