Active NPI
Lydia J Cohan MD PC
- Child & Adolescent Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1508312190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 20724
- Legal business name
- LYDIA J COHAN MD PC
- Practice address
- 1800 E Van Buren St
Phoenix, AZ 85006-3742 - Phone
- (602) 251-8500
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lydia J Cohan, MD
- Title
- President
- Phone
- (928) 649-1971
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20724 | AZ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 20724 | AZ | Primary |
Addresses
Primary practice location
1800 E Van Buren St
Phoenix, AZ 85006-3742
Mailing address
PO Box 14631
Scottsdale, AZ 85267-4631
Phone (928) 649-1971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117590 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472688000000",
"number": "1508312190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14631",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852674631",
"telephone_number": "928-649-1971",
"fax_number": "520-448-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063742",
"telephone_number": "602-251-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYDIA J COHAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A",
"authorized_official_last_name": "COHAN",
"authorized_official_first_name": "LYDIA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-649-1971",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "20724",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AZ",
"license": "20724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117590",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.