Jonathan D Cohen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6711 Issued in FL

Practice address

282 East Duval Street
Lake City, FL 32055

Phone

(386) 288-4734

Fax

(866) 472-1489

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Jonathan D. Cohen, PH.D.

  • Psychologist
  • Lake City, FL
  • NPI 1487417705
  NPD Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1275746190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 SW STORY PLACE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32024",
            "telephone_number": "386-288-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 EAST DUVAL STREET",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32055",
            "telephone_number": "386-288-4734",
            "fax_number": "866-472-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AI172",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CMS Professional Transport, Inc.
• Coast Dental P.a. (Coast Dental-Lake City)
• Coast Multi-Specialty Medical Group P.a (Cmsmg)
• Melissa Sue Cobb
• Morgan Renald Cobran, D.D.S.
• Albneisha D Coker
• Cole Optics, LLC
• Melissa Cole
• Reaves C Cole, O.D.
• Sherri Alaine Cole, L.D.O.

• Clinical Psychologist in Lake City, FL
• Providers in Lake City, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.