Active NPI
Elliot Sanford Cohen, MD
- Psychiatry Physician
- Colorado Springs, CO
National Provider Identifier
1326142738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 22617
- Practice address
- 4465 Northpark Drive
#208
Colorado Springs, CO 80907 - Phone
- (719) 531-5700
- Fax
- (719) 531-5712
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 22617 | CO | Primary |
Addresses
Primary practice location
4465 Northpark Drive
#208
Colorado Springs, CO 80907
Mailing address
4465 Northpark Drive
#208
Colorado Springs, CO 80907
Phone (719) 531-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01226174 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22617 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1326142738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 NORTHPARK DRIVE",
"address_2": "#208",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-531-5700",
"fax_number": "719-531-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 NORTHPARK DRIVE",
"address_2": "#208",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-531-5700",
"fax_number": "719-531-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "ELLIOT",
"middle_name": "SANFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "22617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01226174",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.