Stacy a Cohen MD Corp

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

STACY A COHEN MD CORP

Practice address

2730 Wilshire Blvd Ste 350
Santa Monica, CA 90403-4752

Phone

(424) 532-1552

Fax

(888) 247-7249

NPI assigned

Apr 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Stacy A Cohen, MDNPI 1073843637

Title

Owner/Ceo

Phone

(424) 532-1552

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• The Moment by Dr. Stacy Cohen Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy A Cohen, M.D.

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1073843637
  NPD Authorized official

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1457915605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 350",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034752",
            "telephone_number": "424-532-1552",
            "fax_number": "888-247-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 350",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034752",
            "telephone_number": "424-532-1552",
            "fax_number": "888-247-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY A COHEN MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "424-532-1552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1073843637",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Moment by Dr. Stacy Cohen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preethi Srikanthan, MD
• Amornchit Srikureja, M.D.
• St. Joseph Center
• St. Joseph Center
• St. Mary'S Eye Center
• Mark Laverne Stafford, DDS
• Qumani Solomon Stafford
• John Macdonald Stalberg Sr., MD
• Ryan David Stancil, M.D.
• Erin Elizabeth Stanford, MA

• Psychiatry Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.