Eric Angelo Cotugno, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017334 Issued in PA

Practice address

14 S. Bryn Mawr Ave
Suite 205
Bryn Mawr, PA 19010

Phone

(610) 525-4828

Fax

(703) 569-7248

NPI assigned

Nov 5, 2010

Last updated

Apr 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bradley C Norford PHD PC

  dba Bryn Mawr Psychological Associates

  • Clinical Psychologist
  • Bryn Mawr, PA
  • NPI 1326180654
  NPD (past)
• Regional Medical Specialty Associates

  • Neurology Physician
  • Media, PA
  • NPI 1972102994
  NPD (past)
• Associated Clinical Services

  • Clinical Psychologist
  • Springfield, VA
  • NPI 1073522124
  NPD (past)

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1619278769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S. BRYN MAWR AVE",
            "address_2": "SUITE 205",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-4828",
            "fax_number": "703-569-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S. BRYN MAWR AVE",
            "address_2": "SUITE 205",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-525-4828",
            "fax_number": "703-569-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTUGNO",
        "first_name": "ERIC",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-05",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004328",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Copeland, M.S., BCBA
• James Coplan, MD
• Kate K. Cornwell
• Anthony R Costa, DMD
• Nicole Costa, CRNP
• Nicole Sara Cournoyer, PA-C
• Dulia P Cowang, CRNA
• Jocelyn L Craparo, MD
• Pascal Cristofalo
• Julie Cristol, CNM

• Clinical Psychologist in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.