Individual provider Active NPI

Donna J Cotzen, M.D.

  • Psychiatry Physician
  • Phila, PA
National Provider Identifier
1760420517
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD017885E Issued in PA
Practice address
325 Chestnut St
Suite 905
Phila, PA 19106-2614
Phone
(215) 238-1262
Fax
(215) 238-1260
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD017885E PA Primary

Addresses

Primary practice location

325 Chestnut St
Suite 905
Phila, PA 19106-2614

Mailing address

210 Locust St
Apt 4a
Phila, PA 19106-3934
Phone (215) 592-9874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060711000368 PA Practitioner - Psychiatry 4183637341 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Hahnemann University College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 Locust St
Apt 4a
Philadelphia, PA 19106-3922
Phone (215) 802-3043

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017885EPAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1760420517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LOCUST ST",
            "address_2": "APT 4A",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191063934",
            "telephone_number": "215-592-9874",
            "fax_number": "215-238-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CHESTNUT ST",
            "address_2": "SUITE 905",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191062614",
            "telephone_number": "215-238-1262",
            "fax_number": "215-238-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTZEN",
        "first_name": "DONNA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD017885E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

Verify at the official NPI Registry.