Individual provider Active NPI

Barbara Beth Cohen, PH.D.

  • Psychologist
  • Ithaca, NY
National Provider Identifier
1730367566
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
015622-1 Issued in NY
Practice address
118 N Tioga St
Suite 401
Ithaca, NY 14850-4354
Phone
(607) 319-5778
Fax
(607) 319-5779
NPI assigned
Feb 4, 2008
Last updated
Feb 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 015622-1 NY Primary

Addresses

Primary practice location

118 N Tioga St
Suite 401
Ithaca, NY 14850-4354

Mailing address

118 N Tioga St
Suite 401
Ithaca, NY 14850-4354
Phone (607) 319-5778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080806000175 NY Practitioner - Clinical Psychologist 3678647831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 N Cayuga St
Suite 15
Ithaca, NY 14850-4346
Phone (607) 319-5778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015622NYMDMental Health Counselor
015622-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B. Beth Cohen, PH.D., Licensed Psychologist, PLLC CurrentSince Oct 4, 2015 Accepting new patients

Locations

108 N Cayuga St
Ste 15
Ithaca, NY 14850
Phone (607) 319-5778

118 N Tioga St
Ste 401
Ithaca, NY 14850
Phone (607) 319-5778

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, 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": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1730367566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N TIOGA ST",
            "address_2": "SUITE 401",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504354",
            "telephone_number": "607-319-5778",
            "fax_number": "607-319-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N TIOGA ST",
            "address_2": "SUITE 401",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504354",
            "telephone_number": "607-319-5778",
            "fax_number": "607-319-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BARBARA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015622-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.