Individual provider Active NPI

Paul Jason Cohen, PH.D.

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1417089475
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2928 Issued in GA
Practice address
6000 Lake Forrest Dr NW
Suite 575
Atlanta, GA 30328-3824
Phone
(770) 639-2880
Fax
(404) 255-3234
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 2928 GA
Cognitive & Behavioral Psychologist 103TB0200X 2928 GA
Clinical Psychologist 103TC0700X 2928 GA
Counseling Psychologist 103TC1900X 2928 GA
Psychologist 103T00000X 2928 GA Primary

Addresses

Primary practice location

6000 Lake Forrest Dr NW
Suite 575
Atlanta, GA 30328-3824

Mailing address

3500 Cedar Knoll Dr
Roswell, GA 30076-2899
Phone (770) 649-9381

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2928GAMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Cohen PHD PC CurrentSince Jun 18, 2023 Accepting new patients
Sandy Springs Psychological Center, P.C. Psychologist Past Accepting new patients

Locations

6000 Lake Forrest Dr
Ste 575
Sandy Springs, GA 30328
Phone (404) 252-0022

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417089475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CEDAR KNOLL DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762899",
            "telephone_number": "770-649-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LAKE FORREST DR NW",
            "address_2": "SUITE 575",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283824",
            "telephone_number": "770-639-2880",
            "fax_number": "404-255-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "PAUL",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "2928",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "2928",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2928",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "2928",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "2928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.