Individual provider Active NPI

Emma Cohan, PSYD

  • Clinical Psychologist
  • Lafayette, CO
National Provider Identifier
1447620109
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0005346 Issued in CO
Practice address
792 S Bermont Ave
Lafayette, CO 80026-1519
Phone
(503) 706-6625
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 0005346 CO Primary

Addresses

Primary practice location

792 S Bermont Ave
Lafayette, CO 80026-1519

Mailing address

588 N US Highway 287 Ste 200
Lafayette, CO 80026-2615
Phone (503) 706-6625

Other practice location 1

588 N US Highway 287 Ste 200
Lafayette, CO 80026-2615
Phone (720) 387-8458

Other practice location 2

1411 SW Morrison St
Suite 310
Portland, OR 97205-1945
Phone (503) 352-2400

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

State licenses

LicenseStateTypeSpecialty
0005346COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Human Counseling and Performance, LLC Clinical CurrentSince Dec 13, 2022 Accepting new patients

Organizations & group practices 1

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1447620109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 N US HIGHWAY 287 STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262615",
            "telephone_number": "503-706-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 S BERMONT AVE",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800261519",
            "telephone_number": "503-706-6625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "588 N US Highway 287 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262615",
            "country_code": "US",
            "telephone_number": "720-387-8458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 SW Morrison St",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972051945",
            "country_code": "US",
            "telephone_number": "503-352-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHAN",
        "first_name": "EMMA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0005346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.