Psychological Works, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0810004007 Issued in VA

Legal business name

PSYCHOLOGICAL WORKS, LLC

Practice address

707 Randolph St
Suite 101
Radford, VA 24141-2443

Phone

(540) 230-5958

Fax

(540) 633-3804

NPI assigned

Aug 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Cohn, PH.D.NPI 1528211901

Title

Licensed Clinical Psychologist

Phone

(540) 230-5958

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy J. Cohn, PH.D.

  • Psychologist
  • Dublin, VA
  • NPI 1528211901
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1386950327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 RANDOLPH ST",
            "address_2": "STE 101",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412443",
            "telephone_number": "540-230-5958",
            "fax_number": "540-552-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 RANDOLPH ST",
            "address_2": "SUITE 101",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241412443",
            "telephone_number": "540-230-5958",
            "fax_number": "540-633-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL WORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "540-230-5958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0810004007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528211901",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noa Ruth Powell
• Kourtney Powers
• Mindy Rene Prescott, NP
• Professional Rehab Associates, Inc
• Professional Therapies of Roanoke, Inc. (CORA Physical Therapy - Radford)
• Virginia Puckett, LPC
• Pyramid Healthcare, Inc.
• Quest Diagnostics Clinical Laboratories Inc
• Sarah Blair Rabe, ED.D., LAT, ATC
• Radford Chiropractic Clinic LLC

• Community/Behavioral Health Agency in Radford, VA
• Providers in Radford, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.