Cory Coldwell, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

J7762 Issued in TX

Practice address

1199 S Belt Line Rd
Ste 100
Coppell, TX 75019-4666

Phone

(972) 906-2826

NPI assigned

Jul 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Freeway Psychiatry PC

  • Psychiatry Physician
  • North Bergen, NJ
  • NPI 1831819531
  NPD

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1780091058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 S BELT LINE RD",
            "address_2": "STE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194666",
            "telephone_number": "972-906-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 S BELT LINE RD",
            "address_2": "STE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194666",
            "telephone_number": "972-906-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLDWELL",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J7762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Neurosciences, PLLC
• Coe Dentistry PLLC
• Karen Ardila Coe, D.D.S.
• Kariane Coffield, OTR
• Sarah Ruth Cohan
• Brooke Coleman
• Allison Anne Collins, MA, LPC INTERN
• Kathy Anne Collins, M.S. CCC/SLP
• Commonwealth Therapy Company LLC
• Samuel Brian Conerly

• Child & Adolescent Psychiatry Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.