Lydia J Cohan, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

20724 Issued in AZ

Practice address

1800 E Van Buren St
Phoenix, AZ 85006-3742

Phone

(480) 205-1786

NPI assigned

Jul 31, 2006

Last updated

Jun 15, 2016By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Lydia J Cohan MD PC

  • Child & Adolescent Psychiatry Physician
  • Phoenix, AZ
  • NPI 1508312190
  Authorized official Same address or phone
• Az Holding 4, LLC

  • Psychiatry Physician
  • Scottsdale, AZ
  • NPI 1447906508
  NPD (past)
• BH Newco Hospital LLC

  dba Via Linda Behavioral Hospital

  • Psychiatric Hospital
  • Scottsdale, AZ
  • NPI 1295494292
  NPD (past)
• College Medical Center Phoenix LLC

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1841012424
  NPD (past)
• St Lukes Behavioral Hospital LP

  • Psychiatric Hospital
  • Phoenix, AZ
  • NPI 1306870910
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1700891173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14631",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852674631",
            "telephone_number": "480-205-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E VAN BUREN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063742",
            "telephone_number": "480-205-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHAN",
        "first_name": "LYDIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "20724",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "20724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117590",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Coffman, M.D.
• Madison Rae Cogburn, DO
• Cogent Non-Emergency Transport
• Lora Cogliani, LAC
• Cognitive Assessment & Referral Services PLLC
• Cohen Beauty Wigs
• Ashley E Cohen-Isaacson, R.D.
• Alex W Cohen, M.D.
• Alison V Cohen, M.S. CCC-SLP
• Andrea J. Cohen, M.A.

• Child & Adolescent Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Child & Adolescent Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.