Individual provider Active NPI

Tamara R. Cohen, PH.D.

  • Clinical Psychologist
  • Hollywood, FL
National Provider Identifier
1396797114
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2116 Issued in FL
Practice address
2750 N 29TH Ave
Suite 208
Hollywood, FL 33020-1521
Phone
(954) 922-0990
NPI assigned
May 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2116 FL Primary

Addresses

Primary practice location

2750 N 29TH Ave
Suite 208
Hollywood, FL 33020-1521

Mailing address

2750 N 29TH Ave
Suite 208
Hollywood, FL 33020-1521
Phone (954) 922-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110602000612 FL Practitioner - Clinical Psychologist 2365629128 Practice locations: Hollywood, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2750 N 29TH Ave
Suite 208
Hollywood, FL 33020-1518

3460 N 40TH St
Hollywood, FL 33021-1939
Phone (954) 922-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2116FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396797114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 N 29TH AVE",
            "address_2": "SUITE 208",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201521",
            "telephone_number": "954-922-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N 29TH AVE",
            "address_2": "SUITE 208",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201521",
            "telephone_number": "954-922-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "TAMARA",
        "middle_name": "R.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "2116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.