Individual provider Active NPI

Jeffrey Steven Cohen, PH.D.

  • Psychologist
  • Stamford, CT
National Provider Identifier
1811063605
Registry record updated Jan 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001030 Issued in CT
Practice address
833 Summer St
1-A
Stamford, CT 06901-1024
Phone
(203) 325-9346
Fax
(203) 325-1801
NPI assigned
Nov 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 001030 CT Primary

Addresses

Primary practice location

833 Summer St
1-A
Stamford, CT 06901-1024

Mailing address

833 Summer St
1-A
Stamford, CT 06901-1024
Phone (203) 325-9346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040518000449 CT Practitioner - Clinical Psychologist 6406846625 Practice locations: Stamford, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

833 Summer St
Stamford, CT 06901-1047
Phone (203) 325-9346

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1164499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389484800000",
    "number": "1811063605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SUMMER ST",
            "address_2": "1-A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011024",
            "telephone_number": "203-325-9346",
            "fax_number": "203-325-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SUMMER ST",
            "address_2": "1-A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011024",
            "telephone_number": "203-325-9346",
            "fax_number": "203-325-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JEFFREY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-26",
        "last_updated": "2014-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.