Active NPI
Judith H. Cobb, PH.D..
- Psychologist
- New York, NY
National Provider Identifier
1487770301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 008793-1
- Practice address
- 20 W 86TH St
# 1B
New York, NY 10024-3604 - Phone
- (212) 724-7760
- Fax
- (212) 866-8004
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 008793-1 | NY | Primary |
Addresses
Primary practice location
20 W 86TH St
# 1B
New York, NY 10024-3604
Mailing address
410 Central Park West
Apt. 12B
New York, NY 10025
Phone (212) 866-8004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 12, 2023 through Sep 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008793-1 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487770301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CENTRAL PARK WEST",
"address_2": "APT. 12B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-866-8004",
"fax_number": "212-866-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 86TH ST",
"address_2": "# 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243604",
"telephone_number": "212-724-7760",
"fax_number": "212-866-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "JUDITH",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "PH.D..",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "008793-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.