Active NPI
Robert Bruce Cohen, PH.D.
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1760550255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 02388
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001341 | Other | MD | VALUE OPTIONS |
| 005980300 | Medicaid | MD | |
| 222993 | Other | MD | COMP PSYCH |
| 5359781 | Other | MD | AETNA |
| 100033107001 | Other | MD | APS |
| 367826 | Other | MD | MAMSI, MDIPA, OPTIMUM CHO |
| M0050001 | Other | MD | FED BLUE SHIELD, BLUE CHO |
| 226762 | Other | MD | KAISER |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 02388 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinical Social Worker
- Baltimore, MD
- NPI 1508925074
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2010; 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.