Susan Klein Cohen, PSYCHOLOGIST PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

011490-1 Issued in NY

Practice address

480 Old Westbury Road
Roslyn Heights, NY 11577-2215

Phone

(516) 626-1971

Fax

(516) 626-7932

NPI assigned

May 16, 2007

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

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 NY

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

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.

• North Shore Child and Family Guidance Association Incorporated

  • Adolescent and Children Mental Health Clinic/Center
  • Roslyn Heights, NY
  • NPI 1508929621
  NPD

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1629284468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 OLD WESTBURY ROAD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772215",
            "telephone_number": "516-626-1971",
            "fax_number": "516-626-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 OLD WESTBURY ROAD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772215",
            "telephone_number": "516-626-1971",
            "fax_number": "516-626-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SUSAN",
        "middle_name": "KLEIN",
        "credential": "PSYCHOLOGIST PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011490-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citiwide Comprehensive Sleep Center, LLC
• City Medical of Upper East Side, PLLC
• Clinical Promotional Marketing (Sole Dimensions)
• Kiera Lynn Cohen, REGISTERED NURSE
• Meryl Cohen, PT
• Ashley Marie Colavito
• Karyl Gilbert Cole, M.D.
• Amy Cooper Grossberg, OD
• Pamela Cornacchia, P.A.
• Cosmetic & Laser Obs PC

• Psychologist in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.