Active NPI
Phyllis Cohen, PH.D.
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1306989389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 009302-1
- Practice address
- 3701 Bedford Ave
Brooklyn, NY 11229-1703 - Phone
- (718) 253-1295
- Fax
- (718) 692-1059
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 009302-1 | NY | Primary |
Addresses
Primary practice location
3701 Bedford Ave
Brooklyn, NY 11229-1703
Mailing address
3701 Bedford Ave
Brooklyn, NY 11229-1703
Phone (718) 253-1295
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 |
|---|---|---|---|
| 009302-1 | NY | MD | Mental Health Counselor |
| 009302 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306989389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291703",
"telephone_number": "718-253-1295",
"fax_number": "718-692-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 BEDFORD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291703",
"telephone_number": "718-253-1295",
"fax_number": "718-692-1059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "PHYLLIS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "009302-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.