Active NPI
Stanley a Cohen DO PA
- Psychiatry Physician
- St Augustine, FL
National Provider Identifier
1285809012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS7389
- Legal business name
- STANLEY A COHEN DO PA
- Practice address
- 605 Palencia Club Dr # 201
St Augustine, FL 32095-6901 - Phone
- (904) 808-8595
- Fax
- (904) 808-8596
- NPI assigned
- Apr 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shanan Moore
- Title
- Practice Manager
- Phone
- (904) 808-8595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS7389 | FL | Primary |
Addresses
Primary practice location
605 Palencia Club Dr # 201
St Augustine, FL 32095-6901
Mailing address
605 Palencia Club Dr # 201
St Augustine, FL 32095-6901
Phone (904) 808-8595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
605 Palencia Club Dr
Ste 201
Saint Augustine, FL 32095
Phone (904) 808-8595
605 Palencia Club Dr
#201
Saint Augustine, FL 32095
Phone (904) 808-8595
354 Paseo Reyes Dr
St Augustine, FL 32095
Phone (904) 755-6592
605 Palencia Club Dr
Ste 201
St Augustine, FL 32095
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- St Augustine, FL
- NPI 1457437584
-
- Psychiatric/Mental Health Nurse Practitioner
- Lake Mary, FL
- NPI 1518237767
-
- Psychiatric/Mental Health Nurse Practitioner
- Ormond Beach, FL
- NPI 1497155741
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Arcadia, FL
- NPI 1205856978
-
- Geriatric Psychiatry Physician
- Jacksonville, FL
- NPI 1457497828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663718400000",
"number": "1285809012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 PALENCIA CLUB DR # 201",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320956901",
"telephone_number": "904-808-8595",
"fax_number": "904-808-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 PALENCIA CLUB DR # 201",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320956901",
"telephone_number": "904-808-8595",
"fax_number": "904-808-8596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLEY A COHEN DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "SHANAN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "904-808-8595"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS7389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.