Cognitive Health Network Corp

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

COGNITIVE HEALTH NETWORK CORP

Practice address

5801 NW 151St St
Miami Lakes, FL 33014-2494

Phone

(305) 557-6755

Fax

(305) 557-1636

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Angie Iribar

Title

Administrative Assistant

Phone

(305) 557-6755

Specialties & licenses 1

Addresses

Other names 1

• Cognitive Health Network Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Omar Lorenzo, PSY.D.

  • Clinical Neuropsychologist
  • Miami Lakes, FL
  • NPI 1790853166
  Medicare reassignment NPD
• Dayana Rodriguez, PSYD

  • Clinical Psychologist
  • Miami, FL
  • NPI 1134800121

  Clinical Neuropsychologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1508508052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST STE 202",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142437",
            "telephone_number": "305-557-6755",
            "fax_number": "305-557-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 NW 151ST ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142494",
            "telephone_number": "305-557-6755",
            "fax_number": "305-557-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE HEALTH NETWORK CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "IRIBAR",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "305-557-6755"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cognitive Health Network",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yamila Cobos Castillo
• Natacha Coca, ARNP
• Coconut Grove Recovery LLC
• Coconut Grove Recovery LLC
• Coffeestone Holdings
• Stefani Cohen, RNFA
• Schane Coker, M.S., FFC, AFC
• Collado Home Care Services Inc
• Ariadna Collazo, DPT
• Emilie Marie Collongette, PHARMD, CPH, BCMTMS

• Clinical Neuropsychologist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.