Active NPI
Stacey Ann Cohen-Maitre
- Psychologist
- Northridge, CA
National Provider Identifier
1194857458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 19834
- Practice address
- 18421 Sandringham CT
Northridge, CA 91326-2042 - Phone
- (818) 987-8320
- Fax
- (818) 832-1050
- NPI assigned
- Mar 12, 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 | 19834 | CA | Primary |
Addresses
Primary practice location
18421 Sandringham CT
Northridge, CA 91326-2042
Mailing address
18421 Sandringham CT
Northridge, CA 91326-2042
Phone (818) 987-8320
Other names 1
- Dr. Stacey Ann Cohen
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 |
|---|---|---|---|
| 19834 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194857458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18421 SANDRINGHAM CT",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913262042",
"telephone_number": "818-987-8320",
"fax_number": "818-832-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18421 SANDRINGHAM CT",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913262042",
"telephone_number": "818-987-8320",
"fax_number": "818-832-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN-MAITRE",
"first_name": "STACEY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "19834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "COHEN",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Northridge, CA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.