Individual provider Active NPI

Joel M Cohen, PHD

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1689615940
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301000821 Issued in MI
Practice address
30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144
Phone
(248) 496-3899
Fax
(248) 809-4030
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301000821 MI Primary

Addresses

Primary practice location

30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144

Mailing address

30665 Northwestern Hwy Ste 255
Farmington Hills, MI 48334-3144
Phone (248) 496-3899

Other practice location 1

6770 W Maple Rd Apt 7134
West Bloomfield, MI 48322-4921
Phone (248) 496-3899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20090409000238 MI Practitioner - Clinical Psychologist 8527088111 Practice locations: Farmington Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30665 Northwestern Hwy
Suite 255
Farmington Hills, MI 48334-3144
Phone (248) 496-3899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1689615940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30665 NORTHWESTERN HWY STE 255",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343144",
            "telephone_number": "248-496-3899",
            "fax_number": "248-809-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30665 NORTHWESTERN HWY STE 255",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343144",
            "telephone_number": "248-496-3899",
            "fax_number": "248-809-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6770 W Maple Rd Apt 7134",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483224921",
            "country_code": "US",
            "telephone_number": "248-496-3899",
            "fax_number": "248-809-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JOEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301000821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.