Olivia Cobham

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1083 McDonald Ave
Brooklyn, NY 11230-2651

Phone

(718) 421-7444

Fax

(718) 421-7229

NPI assigned

May 29, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1417640251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053409",
            "telephone_number": "718-667-2300",
            "fax_number": "718-421-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302651",
            "telephone_number": "718-421-7444",
            "fax_number": "718-421-7229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Sheepshead Bay Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112243605",
            "country_code": "US",
            "telephone_number": "718-946-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBHAM",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cobble Hill Health Center Inc
• Cobble Hill Health Center Inc.
• Cobble Hill Womens Gynecology FPP
• Cobblestone Psychotherapy LCSW P.L.LC.
• Alister Cobham
• Marissa Anne Coble, MSW
• Layla Salema Cobrinik, LMSW
• Natalie Coburn
• Juan Manuel Coca Guzman
• Maggie Fitzgerald Cocca, MD

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.