Active NPI
Lee G Cohen, PSYD
- Psychologist
- Summit, NJ
National Provider Identifier
1225859531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- TP243-056
- Practice address
- 45 River Rd
Summit, NJ 07901-1452 - Phone
- (973) 314-8773
- NPI assigned
- Oct 19, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | TP243-056 | NJ | Primary |
Addresses
Primary practice location
45 River Rd
Summit, NJ 07901-1452
Mailing address
20 Cherokee Rd
Cranford, NJ 07016-3358
Phone (908) 202-0174
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 |
|---|---|---|---|
| TP243-056 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729296000000",
"number": "1225859531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 CHEROKEE RD",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070163358",
"telephone_number": "908-202-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RIVER RD",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011452",
"telephone_number": "973-314-8773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "LEE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-19",
"last_updated": "2024-10-19",
"certification_date": "2024-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NJ",
"license": "TP243-056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.