Donald Dale Cohen, M.S.W., PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1059 Issued in OR

Practice address

511 SW 10TH Ave Ste 604
Portland, OR 97205-2707

Phone

(503) 238-5557

Fax

(503) 234-7166

NPI assigned

Jan 19, 2007

Last updated

Feb 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Donald D. Cohen, PH.D., P.C.

  • Adult Mental Health Clinic/Center
  • Portland, OR
  • NPI 1568739837
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1528111804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE",
            "address_2": "STE 604",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052707",
            "telephone_number": "503-281-9232",
            "fax_number": "503-234-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 604",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052707",
            "telephone_number": "503-238-5557",
            "fax_number": "503-234-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "DONALD",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.S.W., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OR",
            "license": "1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Peimer Cohen, M.D.
• David L Cohen, M.D.
• David Mason Cohen, MD
• Deborah Janet Cohen, MD
• Desmond Cohen
• Emma Jewell Cohen, LMT
• Galen Cohen, LPC
• Gary J Cohen, MSN-CRNA
• Hasina Renee J Cohen, MSOM, LAC
• Heidi M Cohen, LAC, RN

• Counseling Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Counseling Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.