Active NPI
Leslie Baer-Cohen, PH.D.
- Clinical Psychologist
- Skokie, IL
National Provider Identifier
1265670293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071006494
- Practice address
- 4711 Golf Rd
Suite 1100
Skokie, IL 60076-1224 - Phone
- (847) 933-9339
- Fax
- (847) 933-0874
- NPI assigned
- Jan 29, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071006494 | IL | Primary |
Addresses
Primary practice location
4711 Golf Rd
Suite 1100
Skokie, IL 60076-1224
Mailing address
4711 Golf Rd
Suite 1100
Skokie, IL 60076-1224
Phone (847) 933-9339
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071006494 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1265670293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 GOLF RD",
"address_2": "SUITE 1100",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761224",
"telephone_number": "847-933-9339",
"fax_number": "847-933-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 GOLF RD",
"address_2": "SUITE 1100",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761224",
"telephone_number": "847-933-9339",
"fax_number": "847-933-0874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAER-COHEN",
"first_name": "LESLIE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071006494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.