Individual provider Active NPI

Laura A Cohen, PH.D.,P.A.

  • Psychologist
  • Hollywood, FL
National Provider Identifier
1730176892
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5632 Issued in FL
Practice address
2699 Stirling Rd
Suite C304
Hollywood, FL 33312-6517
Phone
(954) 893-7110
Fax
(954) 893-1105
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0005832 FL
Psychologist 103T00000X PY5632 FL Primary

Addresses

Primary practice location

2699 Stirling Rd
Suite C304
Hollywood, FL 33312-6517

Mailing address

2699 Stirling Rd
Suite C304
Hollywood, FL 33312-6517
Phone (954) 893-7110

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050811000037 FL Practitioner - Clinical Psychologist 4981595139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2699 Stirling Rd
Suite C304
Fort Lauderdale, FL 33312-6589
Phone (954) 893-7110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY5632FLMDPsychologist
PY0005832FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Cohen PA CurrentSince Nov 20, 2004 Accepting new patients

Locations

2699 Stirling Rd
Ste C304
Ft Lauderdale, FL 33312
Phone (754) 444-1950

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1730176892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE C304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-893-7110",
            "fax_number": "954-893-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE C304",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-893-7110",
            "fax_number": "954-893-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PH.D.,P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0005832",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.