Individual provider Active NPI

Pamela Hirsh Cohen, PSYD

  • Psychologist
  • Weston, FL
National Provider Identifier
1225750953
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY11990 Issued in FL
Practice address
2883 Executive Park Dr Ste 102
Weston, FL 33331-3662
Phone
(954) 817-6239
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY11990 FL Primary

Addresses

Primary practice location

2883 Executive Park Dr Ste 102
Weston, FL 33331-3662

Mailing address

2883 Executive Park Dr Ste 102
Weston, FL 33331-3662
Phone (954) 817-6239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 14, 2024 through Mar 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY11990FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gia Coral Gables LLC PastSince May 18, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1225750953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR STE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-817-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR STE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-817-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "PAMELA",
        "middle_name": "HIRSH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.