Organization Active NPI

Jonathan D. Cohen, PH.D.

  • Psychologist
  • Lake City, FL
National Provider Identifier
1487417705
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
JONATHAN D. COHEN, PH.D.
Practice address
282 E Duval St
Lake City, FL 32055-4085
Phone
(386) 288-4734
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Jonathan CohenNPI 1275746190
Title
Psychologist
Phone
(386) 288-4734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

282 E Duval St
Lake City, FL 32055-4085

Mailing address

282 E Duval St
Lake City, FL 32055-4085
Phone (386) 288-4734

National Provider Directory

National Provider Directory

Locations

282 E Duval St
Lake City, FL 32055
Phone (386) 288-4734

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1487417705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 E DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554085",
            "telephone_number": "386-288-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 E DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554085",
            "telephone_number": "386-288-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN D. COHEN, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "386-288-4734"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.