Individual provider Active NPI

Robert Bruce Cohen, PH.D.

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1760550255
Registry record updated Dec 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
02388 Issued in MD
Practice address
8813 Waltham Woods Rd
Suite 302
Baltimore, MD 21234-2450
Phone
(410) 665-4522
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 02388 MD Primary

Addresses

Primary practice location

8813 Waltham Woods Rd
Suite 302
Baltimore, MD 21234-2450

Mailing address

14007 Woodens LN
Reisterstown, MD 21136-4536
Phone (410) 429-2998

Other identifiers 8

IdentifierTypeStateIssuer
001341OtherMDVALUE OPTIONS
005980300MedicaidMD
222993OtherMDCOMP PSYCH
5359781OtherMDAETNA
100033107001OtherMDAPS
367826OtherMDMAMSI, MDIPA, OPTIMUM CHO
M0050001OtherMDFED BLUE SHIELD, BLUE CHO
226762OtherMDKAISER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20060206000805 MD Practitioner - Clinical Psychologist 4688688062 Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8813 Waltham Woods Rd
Suite 302
Baltimore, MD 21234-2578
Phone (410) 665-4522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02388MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Counseling Center of Baltimore, Inc. Past Accepting new patients

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293321600000",
    "number": "1760550255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14007 WOODENS LN",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211364536",
            "telephone_number": "410-429-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 WALTHAM WOODS RD",
            "address_2": "SUITE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212342450",
            "telephone_number": "410-665-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "001341",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005980300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMP PSYCH",
            "identifier": "222993",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5359781",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "100033107001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI, MDIPA, OPTIMUM CHO",
            "identifier": "367826",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BLUE SHIELD, BLUE CHO",
            "identifier": "M0050001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "226762",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.