Individual provider Active NPI

Christina Hansen Cohen, PSY.D.

  • Clinical Psychologist
  • Fort Myers, FL
National Provider Identifier
1487780938
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7935 Issued in FL
Practice address
4301 Veronica S Shoemaker Blvd Ste B
Fort Myers, FL 33916-2216
Phone
(239) 274-7792
Fax
(239) 247-5344
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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 PY7935 FL Primary

Addresses

Primary practice location

4301 Veronica S Shoemaker Blvd Ste B
Fort Myers, FL 33916-2216

Mailing address

4301 Veronica Shoemaker Blvd.
Suite B
Fort Myers, FL 33916
Phone (239) 274-7792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000354 FL Practitioner - Clinical Psychologist 3274702576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5237 Summerlin Commons Blvd
Fort Myers, FL 33907-2158
Phone (239) 274-7792

5290 Summerlin Commons Way
Suite 1002
Fort Myers, FL 33907-2162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edina Psychology, S.C. Clinical Current Accepting new patients
Hansen-Cohen Associates in Psychology, Inc CurrentSince Mar 2, 2011 Accepting new patients

Locations

5237 Summerlin Commons Blvd
Fort Myers, FL 33907
Phone (239) 274-7792

4301 Veronica S Shoemaker Blvd
Ste B
Fort Myers, FL 33916
Phone (239) 274-7792

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1487780938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 VERONICA SHOEMAKER BLVD.",
            "address_2": "SUITE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33916",
            "telephone_number": "239-274-7792",
            "fax_number": "239-247-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 VERONICA S SHOEMAKER BLVD STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-7792",
            "fax_number": "239-247-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "CHRISTINA",
        "middle_name": "HANSEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.