Individual provider Active NPI

Joseph M Cox, PH.D.

  • Clinical Psychologist
  • Moorhead, MN
National Provider Identifier
1497027841
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP5621 Issued in MN
Practice address
200 5TH St S Ste 204
Moorhead, MN 56560-2768
Phone
(218) 331-0155
Fax
(218) 331-0154
NPI assigned
Feb 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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 LP5621 MN Primary

Addresses

Primary practice location

200 5TH St S Ste 204
Moorhead, MN 56560-2768

Mailing address

200 5TH St S Ste 204
Moorhead, MN 56560-2768
Phone (218) 331-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP5621MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Behavioral Health Clinic CurrentSince May 16, 2018 Accepting new patients

Locations

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

2624 9th Ave SW
Fargo, ND 58103
Phone (701) 298-4500

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1497027841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 5TH ST S STE 204",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602768",
            "telephone_number": "218-331-0155",
            "fax_number": "218-331-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 5TH ST S STE 204",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602768",
            "telephone_number": "218-331-0155",
            "fax_number": "218-331-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.