Active NPI
Donna J Cotzen, M.D.
- Psychiatry Physician
- Phila, PA
National Provider Identifier
1760420517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD017885E
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD017885E | PA | MD | Psychiatry 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.