Michelle Cohen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21127 Issued in CA

Practice address

2001 S Barrington Ave
#304
West Los Angeles, CA 90025-5363

Phone

(310) 473-2060

Fax

(310) 473-0250

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326148230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22287 MULHOLLAND HWY",
            "address_2": "#214",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025157",
            "telephone_number": "310-473-2060",
            "fax_number": "310-473-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE",
            "address_2": "#304",
            "city": "WEST LOS ANGELES",
            "state": "CA",
            "postal_code": "900255363",
            "telephone_number": "310-473-2060",
            "fax_number": "310-473-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve H Bolur, DDS
• Robert Boress, M.A., LMFT
• Bon Hoan Cho, L.AC.
• Kimberlee Chronister, PSYD
• Citizens Medical Group
• Allan J. Comeau, PH.D.
• Shelby Rose Condon
• Bianca M Daalder, MFT
• Stephanie Mitsuye Dacay, R.D.
• Gili Dekel

• Clinical Psychologist in West Los Angeles, CA
• Providers in West Los Angeles, CA by specialty
• Clinical Psychologist in California

• 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.
• 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.