Stacey Cohen-Meissner, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012780 Issued in NY

Practice address

1221 Jerome Ave
Bronx, NY 10452-3301

Phone

(732) 576-1500

Fax

(732) 576-1542

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RPP on-Site Psychology PC

  • Clinical Psychologist
  • Tenafly, NJ
  • NPI 1164364089
  NPD Authorized official
• R.P.P., Inc.

  • Clinical Psychologist
  • Jackson Heights, NY
  • NPI 1306933767
  NPD (past) Authorized official
• Springvalley Adult Home

  • Adult Day Care Clinic/Center
  • Nanuet, NY
  • NPI 1366713208
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1376754846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4071",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077484071",
            "telephone_number": "732-576-1500",
            "fax_number": "732-576-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523301",
            "telephone_number": "732-576-1500",
            "fax_number": "732-576-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-MEISSNER",
        "first_name": "STACEY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01703864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Cofield
• Cohen & Garcha Podiatry, LLP
• Cohen Fashion Optical LLC (Cohen's Fashion Optical)
• Cohen Fashion Optical, LLC (Cohen's Fashion Optical)
• Gabriella Cohen Feit, MD
• Alan F Cohen, MD
• Alexis Cohen, PH.D.
• Arthur J Cohen, DPM
• Barrie Cohen, MD
• Bruce C Cohen, MD

• Clinical Psychologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.