Individual provider Active NPI

Ted Cosse, M.A.

  • Psychologist
  • Pasadena, CA
National Provider Identifier
1447480868
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY26226 Issued in CA
Practice address
180 N Oakland Ave
Pasadena, CA 91101-1714
Phone
(626) 584-5566
NPI assigned
Jul 20, 2009
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY26226 CA Primary

Addresses

Primary practice location

180 N Oakland Ave
Pasadena, CA 91101-1714

Mailing address

155 S de Lacey Ave
Apartment 1004
Pasadena, CA 91105-4521
Phone (818) 939-3280

Other names 1

  • Mr. Theopolis Cosse Other name

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSY26226CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fuller Theological Seminary Psychologist Current Accepting new patients
Fuller Theological Seminary CurrentSince Oct 8, 2023 Accepting new patients

Locations

180 N Oakland Ave
Pasadena, CA 91101
Phone (626) 584-5555

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1447480868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S DE LACEY AVE",
            "address_2": "APARTMENT 1004",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054521",
            "telephone_number": "818-939-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N OAKLAND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011714",
            "telephone_number": "626-584-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSE",
        "first_name": "TED",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY26226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEOPOLIS",
            "last_name": "COSSE",
            "prefix": "MR.",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.