Individual provider Active NPI

Steven Cohen, PSYD

  • Psychologist
  • Fort Myers, FL
National Provider Identifier
1447340369
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7187 Issued in FL
Practice address
12499 Brantley Commons CT
Suite 101
Fort Myers, FL 33907-5676
Phone
(239) 278-3443
Fax
(239) 278-3550
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7187 FL Primary
Clinical Child & Adolescent Psychologist 103TC2200X PY7187 FL
Health Service Psychologist 103TH0100X PY7187 FL

Addresses

Primary practice location

12499 Brantley Commons CT
Suite 101
Fort Myers, FL 33907-5676

Mailing address

12499 Brantley Commons CT
Suite 101
Fort Myers, FL 33907-5676
Phone (239) 278-3443

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
I20051010000124 FL Practitioner - Clinical Psychologist 4688609100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Psychology, PAGroup PAC ID 0840287991, 8 clinicians

Practice addresses (Care Compare)

12499 Brantley Commons CT
Suite 101
Fort Myers, FL 33907-5694
Phone (239) 278-3443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1098KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychology, PA Health Service CurrentSince Sep 26, 2005 Accepting new patients
Pawnee Mental Health Service, Inc. Past Accepting new patients

Locations

12499 Brantley Commons Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 278-3443

12499 Brantley Commons Ct
Fort Myers, FL 33907
Phone (239) 278-3443

5621 Strand Blvd
Ste 201
Naples, FL 34110

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1447340369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12499 BRANTLEY COMMONS CT",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075676",
            "telephone_number": "239-278-3443",
            "fax_number": "239-278-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12499 BRANTLEY COMMONS CT",
            "address_2": "SUITE 101",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075676",
            "telephone_number": "239-278-3443",
            "fax_number": "239-278-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7187",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY7187",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "FL",
            "license": "PY7187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.