NPIMap

Organization Active NPI

Jay L. Cohen, PH.D., PLLC

  • Clinical Psychologist
  • Oak Park, MI
National Provider Identifier
1730324815
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013378 Issued in MI
Legal business name
JAY L. COHEN, PH.D., PLLC
Practice address
25900 Greenfield Rd
Suite 405
Oak Park, MI 48237-1292
Phone
(248) 514-1473
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Jay L. Cohen, PH.D.
Title
Owner
Phone
(248) 514-1473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301013378 MI Primary

Addresses

Primary practice location

25900 Greenfield Rd
Suite 405
Oak Park, MI 48237-1292

Mailing address

26010 Marlowe PL
Oak Park, MI 48237-1044
Phone (248) 514-1473

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1730324815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26010 MARLOWE PL",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371044",
            "telephone_number": "248-514-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD",
            "address_2": "SUITE 405",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371292",
            "telephone_number": "248-514-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY L. COHEN, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-514-1473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.