Susan Z Cohen, PHD
Individual provider Active NPI Psychologist · Larchmont, NY
NPI 1295880896 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295880896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 7543 (NY)
- Practice address
- 1 West Avenue
#222
Larchmont, NY 10538 - Phone
- (914) 833-3907
- Fax
- (914) 834-4175
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2014 through Oct 1, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7543 | NY | MD | Psychologist |
| 007543 | NY | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7543 | NY | Yes |
Addresses
Primary practice location
1 West Avenue
#222
Larchmont, NY 10538
Mailing address
1 West Avenue
#222
Larchmont, NY 10538
Phone (914) 833-3907
Other providers in Larchmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.