Active NPI
Jason R. Cohen, D.O.
- Multi-Specialty Group
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Group
- License
- OS12212
- Practice address
- 560 Village Blvd
Suite #150
West Palm Beach, FL 33409-1945 - Phone
- (561) 331-8800
- Fax
- (561) 331-8074
- NPI assigned
- Aug 6, 2009
- Last updated
- Aug 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Group | 193200000X | OS12212 | FL | Primary |
| Psychiatry Physician | 2084P0800X | OS12212 | FL |
Addresses
Primary practice location
560 Village Blvd
Suite #150
West Palm Beach, FL 33409-1945
Mailing address
560 Village Blvd
Suite #150
West Palm Beach, FL 33409-1945
Phone (561) 331-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Florida College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1035 S State Rd
7 Suite 209
Wellington, FL 33414-6136
Phone (561) 331-8800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12212 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Specialty Center LLC | Multi-Specialty | Current | Accepting new patients |
| Mindpath Health Florida, PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
1035 S State Road 7
Ste 209
Wellington, FL 33414
Phone (561) 331-8800
560 Village Blvd
Ste 150
West Palm Beach, FL 33409
Phone (561) 331-8800
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1679704779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 VILLAGE BLVD",
"address_2": "SUITE #150",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091945",
"telephone_number": "561-331-8800",
"fax_number": "561-331-8074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 VILLAGE BLVD",
"address_2": "SUITE #150",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091945",
"telephone_number": "561-331-8800",
"fax_number": "561-331-8074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "JASON",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-06",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "193200000X",
"taxonomy_group": "",
"desc": "Multi-Specialty",
"state": "FL",
"license": "OS12212",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS12212",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.